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EYE ASSOCIATES NORTHWEST PLLC NPI 1154399319


NPI Information

NPI: 1154399319
Provider Name: EYE ASSOCIATES NORTHWEST, PLLC

Doing Business As: EVERGREEN OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11325 NE 120TH ST STE 11325
KIRKLAND, WA
ZIP 98034
Phone: (425) 775-0548
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EYE ASSOCIATES NORTHWEST, PLLC is an eyewear supplier in Kirkland, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE ASSOCIATES NORTHWEST, PLLC NPI is 1154399319. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Optical.

The provider's business location address is:

11325 NE 120TH ST STE 11325
KIRKLAND, WA
ZIP 98034-907
Phone: (425) 775-0548
Fax: (425) 670-6708

The provider's authorized official is Rosa 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 3/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

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

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