CASCADE EYE & SKIN CENTERS P.C. – Ophthalmology Physician, NPI 1033204938

CASCADE EYE & SKIN CENTERS P.C. is a healthcare provider. based in Bonney lake, Washington. specializing in Ophthalmology Physician. The NPI Number for CASCADE EYE & SKIN CENTERS P.C. is 1033204938

Main info

Organization
Name
CASCADE EYE & SKIN CENTERS P.C.
NPI
1033204938
Phone
(253) 848-3000
Address
10004 204th Ave E Ste 1500
Authorized Official
NICOLE JELMBERG-BRAYTON BUSINESS OPERATIONS MANAGER
Enumeration Date
4 October 2006
Last Update Date
25 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for CASCADE EYE & SKIN CENTERS P.C.

  • 10004 204th Ave E Ste 1500

    Bonney Lake, WA 983916538

    Phone: (253) 848-3000

    Type: Location

  • 11216 Sunrise Blvd E Ste 3-102

    Puyallup, WA 983748848

    Phone: (253) 848-3000

    Type: Location

  • 5225 Cirque Dr W Ste 200

    University Place, WA 984673639

    Phone: (253) 848-3000

    Type: Location

  • 4907 Pt Fosdick Dr NW

    Ste E700

    Gig Harbor, WA 983351842

    Phone: (253) 848-3000

    Type: Location

  • 205 Lilly Rd NE Ste A2

    Olympia, WA 985065069

    Phone: (253) 848-3000

    Type: Location

  • 1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States

    SUITE 101

    PUYALLUP, WA 98371

    Phone: (253) 848-3000

    Fax: (253) 840-6514

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040310000465OClinic/Group PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98391)

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Reviews

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Frequently asked questions

Can I cross-check CASCADE EYE & SKIN CENTERS P.C. using NPI 1033204938?
NPI 1033204938 belongs to CASCADE EYE & SKIN CENTERS P.C.; compare other details if you need extra assurance.
Active or inactive — what applies to CASCADE EYE & SKIN CENTERS P.C.?
You should see CASCADE EYE & SKIN CENTERS P.C. as active in CMS-hosted NPPES data.
What area of care is associated with CASCADE EYE & SKIN CENTERS P.C.?
CASCADE EYE & SKIN CENTERS P.C.'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is CASCADE EYE & SKIN CENTERS P.C. associated with Bonney Lake?
Public fields place CASCADE EYE & SKIN CENTERS P.C. around Bonney Lake, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CASCADE EYE & SKIN CENTERS P.C. is noted as October 4, 2006 where the registry provides it.

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