EVERGREEN EYE SURGERY CENTER
NPI 1821167479
Clinic/Center - Ambulatory Surgical in Federal Way, WA

NPI Status: Active since November 07, 2006

Contact Information

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003
Phone: (206) 212-2100
Fax: (206) 212-2174

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 50D0926546
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About EVERGREEN EYE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Evergreen Eye Surgery Center, a provider established in Federal Way, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1821167479 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Evergreen Eye Surgery Center. The authorized official of this NPI record is Rosa Angelica Campos (Credentialing Manager)

NPI
1821167479
Provider Legal Name
EVERGREEN EYE CENTER, PLLC
Other Organization Name
EVERGREEN EYE SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
34719 6TH AVE S FEDERAL WAY, WA 98003
Location Phone
(206) 212-2100
Location Fax
(206) 212-2174
Mailing Address
34719 6TH AVE S FEDERAL WAY, WA 98003
Mailing Phone
(206) 212-2100
Mailing Fax
(206) 212-2174
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
01-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSA ANGELICA CAMPOS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(206) 215-2004

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
490003159OTHER (01)WARAILROAD MEDICARE ASC NUM
7081250MEDICAID (05)WA 
EV5682OTHER (01)WAREGENCE ASC NUMBER
P06705OTHER (01)WAPCMB ASC NUMBER
111881OTHER (01)WAL&I ASC NUMBER
NBNOTHER (01)WAWA0527

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 60 times for 47 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 14 times for 11 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 74 times for 51 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 907 times for 540 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 30 times for 15 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 320 times for 231 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 22 times for 15 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0926546
Facility Type
Physician Office
Certificate Effective Date
July 31, 2017
Certificate Expiration Date
April 04, 2028
Laboratory Director
ROBERT A. TESTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evergreen Eye Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EVERGREEN EYE SURGERY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821167479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28412614414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 2 + 6 + 1 + 4 + 4 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1821167479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

MR. HANS OYSTEIN BJORN O.D.

Optometrist

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(253) 874-3969

JAMES WILLIAM SANTORO O.D.

Optometrist

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 212-2100

EVERGREEN EYE ANESTHESIA PLLC

Nurse Anesthetist, Certified Registered

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(800) 340-3595

MCKENZIE SUZANNE FOGARTY OD

Optometrist

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 260-2503

DR. BRADLEY ALAN FREDERICKSON O.D.

Optometrist

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 212-2100

DR. GARY WHAKUK CHUNG M.D.

Ophthalmology

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 212-2100

DR. ROBERT AARON TESTER M.D.

Ophthalmology

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 212-2100

EVERGREEN EYE CENTER, PLLC

Ophthalmology

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 212-2100

DR. ALEXANDRA MATEJCZYK OD

Optometrist

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(206) 260-2503

ERIN S SEEFELDT MD

Ophthalmology

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003

(800) 340-3595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821167479, enumerated as an "organization" on November 07, 2006.

The provider is located at 34719 6TH AVE S FEDERAL WAY, WA 98003 and the phone number is (206) 212-2100.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.