Eye Associates Northwest Surgery Center
LBN: Evergreen Eye Center, Pllc
Eye Associates Northwest Surgery Center is an health care organization with primary practice located at 1455 Nw Leary Way Suite 300, Seattle WA 98107-5136. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Evergreen Eye Center, Pllc can be contacted via phone (206) 342-6041, or through Chung, Gary Whakuk via phone (206) 212-2100.
Contact Information
Primary practice address
1455 Nw Leary Way Suite 300
Seattle WA 98107-5136
Phone: (206) 342-6041
Fax: (206) 781-8693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1184689408 |
|---|---|
| LBN Legal business name | Evergreen Eye Center, Pllc |
| DBA Doing business as | Eye Associates Northwest Surgery Center |
| Authorized official | Chung, Gary Whakuk Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | May 30th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184689408 | NPPES |
| Washington | Other | LABOR & INDUSTRIES | 0014585 |
| Washington | MEDICAID | 7094410 | 0014585 |
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