EVERGREEN EYE CENTER INC., P.S. (NPI# 1104465012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104465012 |
| Entity Type | Organization |
| Organization Name | EVERGREEN EYE CENTER INC., P.S. |
| Practice Address |
502 S M St Tacoma WA 98405-3728 |
| Mailing Address |
Po Box 25020 Federal Way WA 98093-2020 |
| Practice Telephone | 8003403595 |
| Mailing Telephone | 8003403595 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | HAYLEE OLSON (BILLING MANAGER) |
| Authorized Official Telephone | 2062122163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346319852 | Evergreen Eye Center Inc., P.s. | Optometrist | 700 M St Ne, Auburn, WA 98002-4586 | 2006-11-07 |
| 1538238043 | Evergreen Eye Center Inc., P.s. | Optometrist | 15153 5th Ave Sw, Burien, WA 98166-3072 | 2006-11-07 |
| 1881763373 | Evergreen Eye Center Inc., P.s. | Optometrist | 2820 Griffin Ave Ste 101, Enumclaw, WA 98022-2373 | 2006-11-07 |
| 1407401920 | Evergreen Eye Center Inc., P.s. | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2019-08-02 |
| Street Address |
502 S M ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874908 | Connie E Jensen | Nurse Anesthetist, Certified Registered | 502 S M St, Suite 200, Tacoma, WA 98405-3728 | 2006-05-04 |
| 1407401920 | Evergreen Eye Center Inc., P.s. | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2019-08-02 |
| 1952835035 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2017-04-17 |
| 1144659764 | Tacoma Eye Surgeons Ps | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2013-11-04 |
| 1831443381 | Brown Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 502 S M St, Tacoma, WA 98405-3728 | 2012-11-06 |
| 1013279298 | Alexander L. Grigalunas | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2012-06-13 |
| 1780807081 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1174746481 | Douglas A Macleod | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1386729242 | Christine Marie Hintz | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2006-10-26 |
| 1124050117 | Andrew B Kopstein | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891722609 | Eye Mds of Puget Sound Pllc | Clinic/Center | 4717 S 19th St, Ste 10, Tacoma, WA 98405-1167 | 2006-06-27 |
| 1992765986 | Western Washington Endoscopy Centers LLC | Clinic/Center | 3209 South 23rd St, 2nd Floor, Tacoma, WA 98405 | 2006-03-24 |
| 1295700086 | Western Washington Endoscopy Centers, LLC | Clinic/Center | 3209 S. 23rd Street, Ste 200, Tacoma, WA 98405 | 2006-02-23 |
| 1750663084 | Pnw Eye Pllc | Clinic/Center | 3602 S 19th St, Tacoma, WA 98405-1919 | 2011-09-13 |
| 1821379538 | The Aesthetic Surgery Centre, Pllc | Clinic/Center | 2202 S Cedar St, Suite 150, Tacoma, WA 98405-2318 | 2011-09-08 |
| 1407011570 | Artistic Plastic Surgery Center Pllc | Clinic/Center | 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 | 2008-07-28 |
| 1780807081 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1336265263 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-03-22 |
| 1194774265 | Cedar Medical Specialties, Pllc | Clinic/Center | 2202 S Cedar St, Ste 150, Tacoma, WA 98405-2318 | 2006-05-08 |
| 1144297003 | Tacoma Endoscopy Center | Clinic/Center | 1112 6th Ave, 200, Tacoma, WA 98405-4040 | 2006-02-28 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.