EVERGREEN EYE CENTER, PLLC
NPI 1346319852
Ophthalmology in Auburn, WA

Active since November 07, 2006CLIA 50D2078286 · Waiver
700 M ST NE, AUBURN, WA 98002(800) 340-3595(855) 929-1515 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2024, Dec 19, 2019 (2 updates tracked since 2019).

About Evergreen Eye Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN EYE CENTER, PLLC (NPI 1346319852) is a healthcare organization registered as an ophthalmology in Auburn, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Rosa Campos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1346319852
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEVERGREEN EYE CENTER, PLLC
Location Address700 M ST NEAuburn, WA 98002-4586
Mailing Address700 M St NeAuburn, WA 98002-4586 · (206) 212-2100 · Fax (206) 212-2174
Fax(855) 929-1515
Organization SubpartNo
Authorized OfficialRosa CamposCredentialing Manager · (206) 215-2004
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1346319852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
Also ListedOptometristTaxonomy 152W00000X
700 M ST NE, Auburn, WA 98002

Other Names 1

Doing Business AsEvergreen Eye Center, Pllc

Other Identifiers 8

Other59460WA · L&i
Medicaid2017242WA
OtherP04799WA · Pcmb
OtherWA0527WA · Nbn Aub
Medicaid7080781WA
Other891451WA · Crime Victims
OtherEV8144WA · Kcm
Other0870427WA · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Eye Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Evergreen Eye Center, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Ophthalmology27
Optometry14

Nearest to this location (20)

See all 41
Ophthalmology
NPI 1396741005
700 M ST NE
Auburn, WA 98002
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1356752091
700 M ST NE
Auburn, WA 98002
(206) 222-1709
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1275642779
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare5.3 mi
Optometry
NPI 1063995181
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts Medicare5.3 mi
Optometry
NPI 1174631899
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare5.3 mi
Optometry
NPI 1629733092
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts Medicare5.3 mi
Optometry
NPI 1578799292
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare5.3 mi
Ophthalmology
NPI 1629225024
34719 6TH AVE S
Federal Way, WA 98003
(800) 340-3595
✔ PECOS✔ Accepts Medicare5.3 mi
Ophthalmology
NPI 1689783268
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare5.3 mi
Optometry
NPI 1962074310
15153 5TH AVE SW
Burien, WA 98166
(206) 260-2503
✔ PECOS✔ Accepts Medicare12 mi
Ophthalmology
NPI 1598797979
502 S M ST
Tacoma, WA 98405
(800) 340-3595
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1013279298
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1093791121
502 S M ST
Tacoma, WA 98405
(206) 212-2100
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1124050117
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOS13 mi
Optometry
NPI 1992695084
9600 VETERANS DR SW
Tacoma, WA 98493
(253) 583-1250
✔ PECOS20 mi
Ophthalmology
NPI 1548098221
9600 VETERANS DR SW
Tacoma, WA 98493
(206) 372-9594
✔ PECOS✔ Accepts Medicare20 mi
Ophthalmology
NPI 1003925785
1101 MADISON ST STE. 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1730538059
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1497375935
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1063961654
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare21 mi
See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2078286

Evergreen Eye Center · Auburn, WA
Active · expires Apr 4, 2028
CLIA Number50D2078286
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert A. Tester
Laboratory Phone(800) 250-7978
Laboratory LocationEvergreen Eye Center700 M St, Auburn, WA 98002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Eye Center, PLLC's NPI number?

The NPI number for Evergreen Eye Center, PLLC is 1346319852. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Evergreen Eye Center, PLLC located?

Evergreen Eye Center, PLLC is located at 700 M St NE, Auburn, WA 98002. The listed phone number is (800) 340-3595.

What is Evergreen Eye Center, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Evergreen Eye Center, PLLC enrolled in Medicare?

Yes. Evergreen Eye Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Eye Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 2 Medicare specialties reassign their Medicare billing to Evergreen Eye Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (27) and Optometry (14). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Evergreen Eye Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2078286) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Eye Center, PLLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.