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

Q: 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..

Q: What is Evergreen Eye Center, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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: August 09, 2026.

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

On this page

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 ›

Other Providers at the Same Location NPPES 11

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

MCKENZIE SUZANNE FOGARTY OD

Optometrist