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Deactivated NPI 1902818891 Deactivated / Inactive NPI Male Practitioner

Dr. Randolph M Lindblad , MD

Ophthalmology • Puyallup, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randolph Lindblad has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2006
NPI Deactivation Date November 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Lindblad, MD was a registered Ophthalmology practicing in Puyallup, WA. Throughout an active medical career spanning 17 years, Dr. Lindblad provided care at the practice location at 1703 S. MERIDIAN until profile deactivation on 2023-11-15.

Practice Location & Contact Primary Location

Practice Address

1703 S. Meridian
Suite 101

Puyallup, WA 98371

Telephone 2538483000
Fax 2538406514
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Puyallup, WA (552 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00010902

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003827171

Doctor of Medicine (M.D.)

Jennifer Pinson , PA-C

Physician Assistant

NPI 1023217981

Physician Assistant (Certified)

NPI 1053322156

Doctor of Medicine (M.D.)

NPI 1053496919

Doctor of Optometry

Kari Walen , PA-C

Physician Assistant

NPI 1053969451

Physician Assistant (Certified)

Mackenzie Schumann , ARNP

Nurse Practitioner - Family

NPI 1063033900

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2023

Record deactivated on November 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1703 S. MERIDIAN, SUITE 101, PUYALLUP, WA 98371 (Tel: 2538483000)

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Updated Business Mailing Address July 08, 2007

Registered at 1703 S. MERIDIAN, SUITE 101, PUYALLUP, WA 98371 (Tel: 2538483000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RANDOLPH LINDBLAD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MD00010902 in WA)

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Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902818891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Deactivation Date: November 15, 2023

Mailing Address

1703 S. Meridian, Suite 101

Puyallup, WA 98371

Phone: 2538483000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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