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
Fax: (206) 212-2174
Website:
Authorized official contact:
Name: Campos, Rosa Angelica

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
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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