EVERGREEN OPTICAL
NPI 1154399319
Eyewear Supplier in Kirkland, WA
NPI Status: Active since March 14, 2006
Contact Information
11325 NE 120TH ST STE 11325
KIRKLAND, WA
ZIP 98034
Phone: (425) 775-0548
Fax: (425) 670-6708
- Organization
- Eyewear Supplier
- CLIA Number: 50D2312078
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About EVERGREEN OPTICAL
This page provides the complete NPI Profile along with additional information for Evergreen Optical, a provider established in Kirkland, Washington operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1154399319 assigned on March 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Evergreen Optical. The authorized official of this NPI record is Rosa Campos (Credentialing Manager)
- NPI
- 1154399319
- Provider Legal Name
- EYE ASSOCIATES NORTHWEST, PLLC
- Other Organization Name
- EVERGREEN OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11325 NE 120TH ST STE 11325 KIRKLAND, WA 98034
- Location Phone
- (425) 775-0548
- Location Fax
- (425) 670-6708
- Mailing Address
- 1101 MADISON ST STE 600 SEATTLE, WA 98104
- Mailing Phone
- (206) 215-2004
- Mailing Fax
- (425) 670-6708
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-14-2006
- Last Update Date
- 01-12-2024
- Code Navigator
Location Map
Secondary Locations
- 11919 NE 128th St Ste A
Kirkland, WA 98034
(425) 820-6307
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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2312078
- Facility Type
- Physician Office
- Certificate Effective Date
- October 03, 2024
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TED ZOLLMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Optical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1154399319, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154399319, enumerated as an "organization" on March 14, 2006.
The provider is located at 11325 NE 120TH ST STE 11325 KIRKLAND, WA 98034 and the phone number is (425) 775-0548.
Eyewear Supplier with taxonomy code 332H00000X.
