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EVERGREEN EYE CENTER
NPI 1881763373
Ophthalmology in Enumclaw, WA

Active since November 07, 2006
2820 GRIFFIN AVE STE 101, ENUMCLAW, WA 98022(360) 802-4549(360) 825-8354 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Evergreen Eye Center NPPES

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

EVERGREEN EYE CENTER (NPI 1881763373) is a healthcare organization registered as an ophthalmology in Enumclaw, 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

NPI1881763373
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEVERGREEN EYE CENTER, PLLC
Location Address2820 GRIFFIN AVE STE 101Enumclaw, WA 98022-2373
Mailing Address34719 6th Ave SFederal Way, WA 98003-8714 · (206) 212-2100 · Fax (206) 212-2174
Phone(360) 802-4549
Fax(360) 825-8354
Organization SubpartNo
Authorized OfficialRosa Angelica CamposCredentialing Manager · (206) 215-2004
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1881763373 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
2820 GRIFFIN AVE STE 101, Enumclaw, WA 98022
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Other Names 1

Doing Business AsEvergreen Eye Center

Other Identifiers 5

Other891451WA · Crime Vics Enumclaw Eec
OtherWA0527WA · Nbn
Other0870427WA · Aetna
Medicaid7080781WA
OtherEV8144WA · Kcm

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

Other Providers at the Same Location NPPES

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

ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS
Podiatrist
2820 GRIFFIN AVE STE 101
ENUMCLAW, WA 98022
King County (360) 825-2181

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 1881763373. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Evergreen Eye Center.

Where is Evergreen Eye Center, PLLC located?

Evergreen Eye Center, PLLC is located at 2820 Griffin Ave Ste 101, Enumclaw, WA 98022. The listed phone number is (360) 802-4549.

What is Evergreen Eye Center, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evergreen Eye Center, PLLC was last updated on January 12, 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.