EVERGREEN EYE CENTER, PLLC
NPI 1104465012
Clinic/Center - Ambulatory Surgical in Tacoma, WA

NPI Status: Active since December 26, 2019

Contact Information

502 S M ST
TACOMA, WA
ZIP 98405
Phone: (800) 340-3595

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About EVERGREEN EYE CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Evergreen Eye Center, Pllc, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104465012 assigned on December 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rosa Campos (Credentialing Manager)

NPI
1104465012
Provider Name
EVERGREEN EYE CENTER, PLLC
Entity Type
Organization
Location Address
502 S M ST TACOMA, WA 98405
Location Phone
(800) 340-3595
Mailing Address
502 S M ST TACOMA, WA 98405
Mailing Phone
(206) 260-2503
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2019
Last Update Date
01-12-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSA CAMPOS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(206) 215-2004

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 28 times for 22 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 23 times for 16 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 26 times for 16 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 353 times for 213 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 131 times for 92 patients

Reviews for EVERGREEN EYE CENTER, PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104465012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 6 + 1 + 0 + 0 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104465012.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
502 S M ST, SUITE 200
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Nurse Anesthetist, Certified Registered
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Optometrist
502 S M ST
TACOMA, WA 98405
Clinic/Center (Ambulatory Surgical)
502 S M ST
TACOMA, WA 98405
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104465012, enumerated as an "organization" on December 26, 2019.

The provider is located at 502 S M ST TACOMA, WA 98405 and the phone number is (800) 340-3595.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.