Evergreen Eye Center, Pllc

LBN: Evergreen Eye Center, Pllc
Evergreen Eye Center, Pllc is an health care organization with primary practice located at 700 M St Ne , Auburn WA 98002-4586. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Evergreen Eye Center, Pllc can be contacted via phone (800) 340-3595, or through Campos, Rosa via phone (206) 215-2004.

Contact Information

Primary practice address
700 M St Ne Auburn WA 98002-4586
Phone: (800) 340-3595
Fax: (855) 929-1515
Website:
Map and Directions
Authorized official contact:
Name: Campos, Rosa
Phone: (206) 215-2004

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1346319852
LBN Legal business name Evergreen Eye Center, Pllc
DBA Doing business as Evergreen Eye Center, Pllc
Authorized official Campos, Rosa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346319852 NPPES
Washington Other 59460 L&I
Washington MEDICAID 2017242 L&I
Washington Other P04799 L&I
Washington Other WA0527 L&I
Washington MEDICAID 7080781 L&I
Washington Other 891451 L&I
Washington Other EV8144 L&I
Washington Other 0870427 L&I

Popular Providers