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EVERGREEN EYE CENTER
NPI 1538238043
Ophthalmology in Burien, WA

Active since November 07, 2006CLIA 50D2078287 · Waiver
15153 5TH AVE SW, BURIEN, WA 98166(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: August 30, 2026.

Record update history: Jan 3, 2024, Dec 19, 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 1538238043) is a healthcare organization registered as an ophthalmology in Burien, 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 Angelica Campos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1538238043
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEVERGREEN EYE CENTER, PLLC
Location Address15153 5TH AVE SWBurien, WA 98166-3072
Mailing Address15153 5th Ave SwBurien, WA 98166-3072 · (206) 212-2100 · Fax (206) 212-2174
Phone(800) 340-3595
Fax(855) 929-1515
Organization SubpartNo
Authorized OfficialRosa Angelica CamposCredentialing Manager · (206) 215-2004
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1538238043 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
15153 5TH AVE SW, Burien, WA 98166
Open in Google Maps ↗

Other Names 1

Doing Business AsEvergreen Eye Center

Other Identifiers 8

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

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

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 50D2078287

Evergreen Eye Center · Burien, WA
Active · expires Apr 4, 2028
CLIA Number50D2078287
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGary W. Chung
Laboratory Phone(800) 250-7978
Laboratory LocationEvergreen Eye Center15153 5th Ave SW, Burien, WA 98166
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JASON GUO OD
Optometrist
15153 5TH AVE SW
BURIEN, WA 98166
King County (206) 260-2503

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 1538238043. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Evergreen Eye Center.

Where is Evergreen Eye Center, PLLC located?

Evergreen Eye Center, PLLC is located at 15153 5th Ave SW, Burien, WA 98166. 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.

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

Yes. A Certificate of Waiver (number 50D2078287) 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.