EVERGREEN EYE CENTER
NPI 1407401920
Ophthalmology in Tacoma, WA

Active since August 02, 2019

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Evergreen Eye Center NPPES

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

EVERGREEN EYE CENTER (NPI 1407401920) is a healthcare organization registered as an ophthalmology in Tacoma, Washington and active in the NPI registry since August 2019. The organization lists Rosa Campos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1407401920
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEVERGREEN EYE CENTER, PLLC
Location Address502 S M STTacoma, WA 98405-3728
Mailing Address502 S M StTacoma, WA 98405-3728
Organization SubpartYes
Authorized OfficialRosa CamposCredentialing Manager · (206) 215-2004
Enumeration DateAugust 2, 2019
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1407401920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
502 S M ST, Tacoma, WA 98405

Other Names 1

Doing Business AsEvergreen Eye Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 1407401920. It was assigned to this organization in the NPPES registry on August 2, 2019. The provider is doing business as Evergreen Eye Center.

Where is Evergreen Eye Center, PLLC located?

Evergreen Eye Center, PLLC is located at 502 S M St, Tacoma, WA 98405. 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.

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 with the weekly NPPES data releases published by CMS.