Evergreen Optical Inc.

LBN: Evergreen Optical Inc.
Evergreen Optical Inc. is an health care organization with primary practice located at 351 Orondo Ave , Wenatchee WA 98801-2826. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Evergreen Optical Inc. can be contacted via phone (509) 662-4747, or through Miller, Jeanne Marie via phone (509) 662-4747.

Contact Information

Primary practice address
351 Orondo Ave Wenatchee WA 98801-2826
Phone: (509) 662-4747
Fax: (509) 663-5338
Website:
Map and Directions
Authorized official contact:
Name: Miller, Jeanne Marie
Phone: (509) 662-4747

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO 00000833 Washington

Profile Details

NPI number 1033502000
LBN Legal business name Evergreen Optical Inc.
DBA Doing business as
Authorized official Miller, Jeanne Marie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Mar 13th, 2015 - about 9 years 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 1033502000 NPPES
Washington MEDICAID 1000288

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