EVERGREEN EYE CENTER PLLC NPI 1184689408

NPI Information

  • NPI: 1184689408
  • Provider Name: EVERGREEN EYE CENTER, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: EYE ASSOCIATES NORTHWEST SURGERY CENTER
  • CLIA Number: 50D2043398
  • Address: 1455 NW LEARY WAY
    SUITE 300
    SEATTLE, WA
    ZIP 98107
  • Phone: (206) 342-6041

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NPI Details

EVERGREEN EYE CENTER, PLLC is an ambulatory surgical clinic center in Seattle, WA. EVERGREEN EYE CENTER, PLLC NPI is 1184689408. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Associates Northwest Surgery Center.

The provider's business location address is:

1455 NW LEARY WAY
SUITE 300
SEATTLE, WA
ZIP 98107-136
Phone: (206) 342-6041
Fax: (206) 781-8693

The provider's authorized official is Gary Whakuk Chung .
The authorized official title is Authorized Official/physician and has the following contact phone number (206) 212-2100.

The CLIA number assigned to this NPI record is 50D2043398 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Shortening or advancement of upper eyelid muscle to correct drooping or paralysis (HCPCS:67903)
  • Temporary closure of eyelids by suture (HCPCS:67875)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/30/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LABOR & INDUSTRIESOTHERWASHINGTON0014585
27094410MEDICAIDWASHINGTON

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: 11/21/2025

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