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EVERGREEN EYE CENTER PLLC NPI 1346319852


NPI Information

NPI: 1346319852
Provider Name: EVERGREEN EYE CENTER, PLLC

Doing Business As: EVERGREEN EYE CENTER, PLLC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 50D2172588

Address:
700 M ST NE
AUBURN, WA
ZIP 98002
Phone: (800) 340-3595
Get Directions

EVERGREEN EYE CENTER, PLLC is an ophthalmology in Auburn, WA. The provider is 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. EVERGREEN EYE CENTER, PLLC NPI is 1346319852. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Evergreen Eye Center, Pllc.

The provider's business location address is:

700 M ST NE
AUBURN, WA
ZIP 98002-586
Phone: (800) 340-3595
Fax: (855) 929-1515

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 CLIA number assigned to this NPI record is 50D2172588 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159460OTHERWASHINGTONL&I
22017242MEDICAIDWASHINGTON
3P04799OTHERWASHINGTONPCMB
4WA0527OTHERWASHINGTONNBN AUB
57080781MEDICAIDWASHINGTON
6891451OTHERWASHINGTONCRIME VICTIMS
7EV8144OTHERWASHINGTONKCM
80870427OTHERWASHINGTONAETNA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.