Evergreen Eye Surgery Center
LBN: Evergreen Eye Center, Pllc
Evergreen Eye Surgery Center is an health care organization with primary practice located at 34719 6Th Ave S , Federal Way WA 98003-8714. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Evergreen Eye Center, Pllc can be contacted via phone (206) 212-2100, or through Campos, Rosa Angelica via phone (206) 215-2004.
Contact Information
Primary practice address
34719 6Th Ave S
Federal Way WA 98003-8714
Phone: (206) 212-2100
Fax: (206) 212-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1821167479 |
|---|---|
| LBN Legal business name | Evergreen Eye Center, Pllc |
| DBA Doing business as | Evergreen Eye Surgery Center |
| Authorized official | Campos, Rosa Angelica |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 12th, 2024 - about last year |
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 | 1821167479 | NPPES |
| Washington | Other | 490003159 | RAILROAD MEDICARE ASC NUM |
| Washington | MEDICAID | 7081250 | RAILROAD MEDICARE ASC NUM |
| Washington | Other | EV5682 | RAILROAD MEDICARE ASC NUM |
| Washington | Other | P06705 | RAILROAD MEDICARE ASC NUM |
| Washington | Other | 111881 | RAILROAD MEDICARE ASC NUM |
| Washington | Other | NBN | RAILROAD MEDICARE ASC NUM |
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