Evergreen Eye Center

LBN: Evergreen Eye Center, Pllc
Evergreen Eye Center is an health care organization with primary practice located at 15153 5Th Ave Sw , Burien WA 98166-3072. 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 Angelica via phone (206) 215-2004.

Contact Information

Primary practice address
15153 5Th Ave Sw Burien WA 98166-3072
Phone: (800) 340-3595
Fax: (855) 929-1515
Website:
Map and Directions
Authorized official contact:
Name: Campos, Rosa Angelica
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 1538238043
LBN Legal business name Evergreen Eye Center, Pllc
DBA Doing business as Evergreen Eye Center
Authorized official Campos, Rosa Angelica
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538238043 NPPES
Washington Other 59460 L&I
Washington MEDICAID 7080781 L&I
Washington Other P04799 L&I
Washington MEDICAID 2017242 L&I
Washington Other EV8144 L&I
Washington Other 0870427 L&I
Washington Other 891451 L&I
Washington Other WA0527 L&I

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