Retina Institute of Washington – Retina Specialist (Ophthalmology) Physician, NPI 1528303849

Retina Institute of Washington is a healthcare provider. based in Renton, Washington. specializing in Retina Specialist (Ophthalmology) Physician. The organization holds a License No. MD60021230 (WA). The NPI Number for Retina Institute of Washington is 1528303849

Main info

Organization
Name
Retina Institute of Washington
NPI
1528303849
Phone
(425) 228-6262
Address
4300 TALBOT RD S STE 300
Authorized Official
GEORGE J KO MANAGING DIRECTOR M.D.
Enumeration Date
28 November 2012
Last Update Date
3 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Retina Institute of Washington

  • 4300 TALBOT RD S STE 300

    RENTON, WA 980556238

    Phone: (425) 228-6262

    Fax: (425) 228-6260

    Mailing address matches the actual address.

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: 2013-01-08

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
O20130108000006OClinic/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

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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 98055)

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Reviews

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Frequently asked questions

What unique ID ties claims to Retina Institute of Washington?
NPI 1528303849 is assigned to Retina Institute of Washington under the national enumeration system.
Is Retina Institute of Washington active in the national directory?
Retina Institute of Washington's public NPI profile is in an active state.
Can you summarize Retina Institute of Washington's specialty in plain language?
Clinically, the directory lists Retina Institute of Washington with Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Retina Institute of Washington?
The page summarizes Renton, Washington for Retina Institute of Washington; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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