1. Home
  2. Directory
  3. Washington
  4. Federal Way
  5. Ophthalmology
  6. NPI Profile

EVERGREEN EYE CENTER, PLLC
NPI 1700959293
Ophthalmology in Federal Way, WA

Active since November 15, 2006
34719 6TH AVE S, FEDERAL WAY, WA 98003(206) 212-2100(206) 212-2194 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, Dec 19, 2019 (2 updates tracked since 2019).

About Evergreen Eye Center, Pllc NPPES

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

EVERGREEN EYE CENTER, PLLC (NPI 1700959293), doing business as Evergreen Eye Center Of Federal Way Inc., P.s., is a healthcare organization registered as an ophthalmology in Federal Way, Washington and active in the NPI registry since November 2006. The organization lists Rosa Angelica Campos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1700959293
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEVERGREEN EYE CENTER, PLLC
Location Address34719 6TH AVE SFederal Way, WA 98003-8714
Mailing Address34719 6th Ave SFederal Way, WA 98003-8714 · (206) 212-2100 · Fax (253) 661-7383
Phone(206) 212-2100
Fax(206) 212-2194
Organization SubpartNo
Authorized OfficialRosa Angelica CamposCredentialing Manager · (206) 215-2004
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1700959293 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
34719 6TH AVE S, Federal Way, WA 98003
Open in Google Maps ↗

Other Names 2

Former Legal Business NameEvergreen Eye Center Of Federal Way Inc., P.s.
Doing Business AsEvergreen Eye Center

Other Identifiers 8

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

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

Accepted Insurance

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

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, Pllc 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, PLLC, which bills Medicare for the services they deliver. Of these, 7 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
Gary Chung, M.D.
Ophthalmology
NPI 1275642779
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Mckenzie Fogarty, OD
Optometry
NPI 1063995181
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts MedicareSame address
Bradley Frederickson, O.D.
Optometry
NPI 1174631899
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Alexandra Matejczyk, OD
Optometry
NPI 1629733092
34719 6TH AVE S
Federal Way, WA 98003
(206) 260-2503
✔ PECOS✔ Accepts MedicareSame address
James Santoro, O.D.
Optometry
NPI 1578799292
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Erin Seefeldt, MD
Ophthalmology
NPI 1629225024
34719 6TH AVE S
Federal Way, WA 98003
(800) 340-3595
✔ PECOS✔ Accepts MedicareSame address
Robert Tester, M.D.
Ophthalmology
NPI 1689783268
34719 6TH AVE S
Federal Way, WA 98003
(206) 212-2100
✔ PECOS✔ Accepts MedicareSame address
Richard Beller, M.D.
Ophthalmology
NPI 1396741005
700 M ST NE
Auburn, WA 98002
(206) 212-2100
✔ PECOS✔ Accepts Medicare5.3 mi
Joshua Frenkel, MD, MPH
Ophthalmology
NPI 1356752091
700 M ST NE
Auburn, WA 98002
(206) 222-1709
✔ PECOS✔ Accepts Medicare5.3 mi
Roger Anderson, MD
Ophthalmology
NPI 1598797979
502 S M ST
Tacoma, WA 98405
(800) 340-3595
✔ PECOS✔ Accepts Medicare7.5 mi
Alexander Grigalunas, M.D.
Ophthalmology
NPI 1013279298
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOS✔ Accepts Medicare7.5 mi
John Heffernan, M.D.
Ophthalmology
NPI 1093791121
502 S M ST
Tacoma, WA 98405
(206) 212-2100
✔ PECOS✔ Accepts Medicare7.5 mi
Andrew Kopstein, MD
Ophthalmology
NPI 1124050117
502 S M ST
Tacoma, WA 98405
(253) 301-4953
✔ PECOS7.5 mi
Jason Guo, OD
Optometry
NPI 1962074310
15153 5TH AVE SW
Burien, WA 98166
(206) 260-2503
✔ PECOS✔ Accepts Medicare12 mi
Serena Bhadsavle
Optometry
NPI 1992695084
9600 VETERANS DR SW
Tacoma, WA 98493
(253) 583-1250
✔ PECOS15 mi
Amy Nguyen, OD
Ophthalmology
NPI 1548098221
9600 VETERANS DR SW
Tacoma, WA 98493
(206) 372-9594
✔ PECOS✔ Accepts Medicare15 mi
Theodore Zollman, MD
Ophthalmology
NPI 1003925785
1101 MADISON ST STE. 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare22 mi
Matthew Cardinale, D.O.
Ophthalmology
NPI 1982145819
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare22 mi
Thomas Copperman, MD
Ophthalmology
NPI 1710220330
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare22 mi
Vanessa Franklin, O.D.
Optometry
NPI 1730538059
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts Medicare22 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 1700959293. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Evergreen Eye Center. The provider was formerly known as Evergreen Eye Center Of Federal Way Inc., P.S..

Where is Evergreen Eye Center, PLLC located?

Evergreen Eye Center, PLLC is located at 34719 6th Ave S, Federal Way, WA 98003. The listed phone number is (206) 212-2100.

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

What insurance does Evergreen Eye Center, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Eye Center, PLLC 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 Eye Center, PLLC was last updated on January 4, 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.