Provider Demographics
NPI:1609892249
Name:CASCADE REGIONAL EYE CENTER INC PS
Entity Type:Organization
Organization Name:CASCADE REGIONAL EYE CENTER INC PS
Other - Org Name:THE HARMAN EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:R
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS
Authorized Official - Phone:360-435-8595
Mailing Address - Street 1:903 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1697
Mailing Address - Country:US
Mailing Address - Phone:360-435-8595
Mailing Address - Fax:360-435-5233
Practice Address - Street 1:903 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1697
Practice Address - Country:US
Practice Address - Phone:360-435-8595
Practice Address - Fax:360-435-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600 623 658207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG001254200Medicare ID - Type Unspecified