EVERGREEN EYE CENTER PLLC NPI 1871095489

NPI Information

NPI: 1871095489
Provider Name: EVERGREEN EYE CENTER, PLLC

Doing Business As: EVERGREEN EYE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1229 MADISON ST STE 1250
SEATTLE, WA
ZIP 98104
Phone: (206) 212-2100
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EVERGREEN EYE CENTER, PLLC is an ambulatory surgical clinic center in Seattle, WA. EVERGREEN EYE CENTER, PLLC NPI is 1871095489. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Eye Surgery Center.

The provider's business location address is:

1229 MADISON ST STE 1250
SEATTLE, WA
ZIP 98104-568
Phone: (206) 212-2100
Fax: (206) 212-2194

The provider's authorized official is Rosa Angelica Campos .
The authorized official title is Credentialing Manager and has the following contact phone number (206) 215-2004.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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