Evergreen Eye Center is a
Ophthalmology based in Enumclaw, Washington. Evergreen Eye Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
2820 Griffin Ave Ste 101, Enumclaw, Washington. It can be reached at their office (for appointments etc.) via phone at
(360) 802-4549.
NPI number for Evergreen Eye Center is 1881763373 and their current mailing address is 34719 6th Ave S, Federal Way, Washington. Evergreen Eye Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881763373.
Healthcare Provider's Profile
| Full Name | Evergreen Eye Center |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 2820 Griffin Ave Ste 101, Enumclaw, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881763373
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 01/12/2024
Medical Identifiers
Medical identifiers for Evergreen Eye Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881763373 | NPI | - | NPPES |
| 891451 | Other | WA | CRIME VICS ENUMCLAW EEC |
| WA0527 | Other | WA | NBN |
| 0870427 | Other | WA | AETNA |
| 7080781 | Medicaid | WA | |
| EV8144 | Other | WA | KCM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evergreen Eye Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evergreen Eye Center
34719 6th Ave S,
Federal Way, WA 98003-8714
Ph: (206) 212-2100 | Evergreen Eye Center
2820 Griffin Ave Ste 101,
Enumclaw, WA 98022-2373
Ph: (360) 802-4549 |
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