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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: October 18, 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
Phone(800) 340-3595
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
Open in Google Maps ↗

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

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 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, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 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
Roger Anderson, MD
Ophthalmology
NPI 1598797979
502 S M ST
Tacoma, WA 98405
(800) 340-3595
✔ PECOS✔ Accepts MedicareSame address
Alexander Grigalunas, M.D.
Ophthalmology
NPI 1013279298
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOS✔ Accepts MedicareSame address
John Heffernan, M.D.
Ophthalmology
NPI 1093791121
502 S M ST
Tacoma, WA 98405
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Andrew Kopstein, MD
Ophthalmology
NPI 1124050117
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOSSame address
Gary Chung, M.D.
Ophthalmology
NPI 1275642779
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare7.5 mi
Mckenzie Fogarty, OD
Optometry
NPI 1063995181
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts Medicare7.5 mi
Bradley Frederickson, O.D.
Optometry
NPI 1174631899
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare7.5 mi
Alexandra Matejczyk, OD
Optometry
NPI 1629733092
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts Medicare7.5 mi
James Santoro, O.D.
Optometry
NPI 1578799292
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare7.5 mi
Erin Seefeldt, MD
Ophthalmology
NPI 1629225024
34719 6TH AVE S
Federal Way, WA 98003
(800) 340-3595
✔ PECOS✔ Accepts Medicare7.5 mi
Robert Tester, M.D.
Ophthalmology
NPI 1689783268
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts Medicare7.5 mi
Serena Bhadsavle
Optometry
NPI 1992695084
9600 VETERANS DR SW
Tacoma, WA 98493
(253) 583-1250
✔ PECOS8.4 mi
Amy Nguyen, OD
Ophthalmology
NPI 1548098221
9600 VETERANS DR SW
Tacoma, WA 98493
(206) 372-9594
✔ PECOS✔ Accepts Medicare8.5 mi
Richard Beller, M.D.
Ophthalmology
NPI 1396741005
700 M ST NE
Auburn, WA 98002
(206) 212-2100
✔ PECOS✔ Accepts Medicare13 mi
Joshua Frenkel, MD, MPH
Ophthalmology
NPI 1356752091
700 M ST NE
Auburn, WA 98002
(206) 222-1709
✔ PECOS✔ Accepts Medicare13 mi
Jason Guo, OD
Optometry
NPI 1962074310
15153 5TH AVE SW
Burien, WA 98166
(206) 260-2503
✔ PECOS✔ Accepts Medicare16 mi
Daniel Kelly, M.D.
Ophthalmology
NPI 1578541090
1101 MADISON ST SUITE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS26 mi
Matthew Cardinale, D.O.
Ophthalmology
NPI 1982145819
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare26 mi
Vanessa Franklin, O.D.
Optometry
NPI 1730538059
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare26 mi
Vy Ha, OD
Optometry
NPI 1497375935
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare26 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.

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.

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, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.