EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1659813657
Prosthetic/Orthotic Supplier in Longview, WA

Q: What is Evergreen Prosthetics And Orthotics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since November 08, 2016

1052 DOUGLAS ST, LONGVIEW, WA 98632(360) 232-8525(360) 232-8633 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Sep 14, 2022, Feb 11, 2020 and 3 more (6 updates tracked since 2016).

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About Evergreen Prosthetics And Orthotics, Llc NPPES

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

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC (NPI 1659813657) is a healthcare organization registered as a prosthetic/orthotic supplier in Longview, Washington and active in the NPI registry since November 2016. The organization maintains a secondary practice location in Longview and lists Timothy L O'neill, Owner, as its authorized official.

NPPES Registry Identity

NPI1659813657

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameEVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Location Address1052 DOUGLAS STLongview, WA 98632-2102

Mailing Address911 Main St Ste 100Oregon City, OR 97045-1853 · (503) 765-5081 · Fax (971) 316-1553

Phone(360) 232-8525

Fax(360) 232-8633

Organization SubpartNo

Authorized OfficialTimothy L O'neillOwner · (503) 407-5408

Enumeration DateNovember 8, 2016

Last NPPES UpdateNovember 1, 20236 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1659813657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1052 DOUGLAS ST, Longview, WA 98632

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Secondary Practice Location 1

Location 11555 3rd Ave Ste BLongview, WA 98632-3268 · Phone (360) 232-8525 · Fax (360) 232-8633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Evergreen Prosthetics And Orthotics carries, from the Medicare DMEPOS supplier directory.

Evergreen Prosthetics And Orthotics

DMEPOS supplier · Longview, WAOperated by Evergreen Prosthetics And Orthotics LLC

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Does not accept Medicare assignment

Evergreen Prosthetics And Orthotics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20331785

Medicare Participant SinceJanuary 1, 2023

Supplier Location1052 Douglas StLongview, WA 98632

Phone(360) 232-8525

Supplier Specialties

Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

CONVENIENT PHYSICIANS SERVICES PS

Family Medicine

1052 DOUGLAS ST
LONGVIEW, WA 98632

Cowlitz County (360) 425-5845

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 Prosthetics And Orthotics, LLC's NPI number?

The NPI number for Evergreen Prosthetics And Orthotics, LLC is 1659813657. It was assigned to this organization in the NPPES registry on November 8, 2016.

Where is Evergreen Prosthetics And Orthotics, LLC located?

Evergreen Prosthetics And Orthotics, LLC is located at 1052 Douglas St, Longview, WA 98632. The listed phone number is (360) 232-8525.

What is Evergreen Prosthetics And Orthotics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Evergreen Prosthetics And Orthotics, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Evergreen Prosthetics And Orthotics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Evergreen Prosthetics And Orthotics, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Evergreen Prosthetics And Orthotics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Prosthetics And Orthotics, LLC was last updated on November 1, 2023. 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.