EVERGREEN OCULOFACIAL PLASTIC SURGERY LLC
NPI 1669133492
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Bend, OR

Q: What is Evergreen Oculofacial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Active since January 04, 2022

929 SW SIMPSON AVE STE 250, BEND, OR 97702(541) 585-0505 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2023, Jan 4, 2022 (2 updates tracked since 2022).

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About Evergreen Oculofacial Plastic Surgery Llc NPPES

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

EVERGREEN OCULOFACIAL PLASTIC SURGERY LLC (NPI 1669133492) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Bend, Oregon and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Grand Junction and lists Tara Marie Goecks, Owner, as its authorized official.

NPPES Registry Identity

NPI1669133492

Entity TypeOrganization

Primary Taxonomy207WX0200X

Legal Business NameEVERGREEN OCULOFACIAL PLASTIC SURGERY LLC

Location Address929 SW SIMPSON AVE STE 250Bend, OR 97702-3599

Mailing AddressPo Box 6387Bend, OR 97708-6387

Phone(541) 585-0505

Organization SubpartNo

Authorized OfficialTara Marie GoecksOwner · (303) 228-3220

Enumeration DateJanuary 4, 2022

Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1669133492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

929 SW SIMPSON AVE STE 250, Bend, OR 97702

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Secondary Practice Location 1

Location 11190 Bookcliff Ave Unit 102Grand Junction, CO 81501-8159 · Phone (303) 228-3220

Other Identifiers 1

Other1598051732CO · Anthem

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

TARA MARIE GOECKS MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

929 SW SIMPSON AVE STE 250
BEND, OR 97702

Deschutes County (541) 585-0505

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 Oculofacial Plastic Surgery LLC's NPI number?

The NPI number for Evergreen Oculofacial Plastic Surgery LLC is 1669133492. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Evergreen Oculofacial Plastic Surgery LLC located?

Evergreen Oculofacial Plastic Surgery LLC is located at 929 SW Simpson Ave Ste 250, Bend, OR 97702. The listed phone number is (541) 585-0505.

What is Evergreen Oculofacial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

What insurance does Evergreen Oculofacial Plastic Surgery LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Evergreen Oculofacial Plastic Surgery 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 Oculofacial Plastic Surgery LLC was last updated on March 20, 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.