Evergreen Eye Center, Pllc - Medicare in Federal Way, WA

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Evergreen Eye Center, Pllc is a medicare enrolled "Ophthalmology" provider in Federal Way, Washington. Their current practice location is 34719 6th Ave S, Federal Way, Washington. You can reach out to their office (for appointments etc.) via phone at (206) 212-2100.

Evergreen Eye Center, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Evergreen Eye Center, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700959293.

Contact Information

Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714
(206) 212-2100
(206) 212-2194

Map and Direction




Healthcare Provider's Profile

Full NameEvergreen Eye Center, Pllc
TypeFacility
SpecialityOphthalmology
Location34719 6th Ave S, Federal Way, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700959293
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173410057
  • Enrollment ID: O20040304001193

Medical Identifiers

Medical identifiers for Evergreen Eye Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700959293NPI-NPPES
0870427OtherWAAETNA NUMBER
WA0527OtherWAEEC NBN NUMBER
891451OtherWACRIME VICTIMS EEC NUMBER
EV8144OtherWAEEC KCM GROUP NUMBER
59460OtherWAEEC L&I NUMBER
7080781MedicaidWA
2017242MedicaidWA
P04799OtherWAPCMB GROUP EEC NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evergreen Eye Center, Pllc acts as a billing entity for following providers:
Provider NameJohn T Heffernan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093791121
PECOS PAC ID: 4981599313
Enrollment ID: I20040607000975
Provider NameRobert A Tester
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689783268
PECOS PAC ID: 4587641881
Enrollment ID: I20040706000267
Provider NameAnita S Lam
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417933250
PECOS PAC ID: 7810967460
Enrollment ID: I20040729001324
Provider NameTheodore M Zollman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003925785
PECOS PAC ID: 1759352123
Enrollment ID: I20040802000544
Provider NameAnnisa L Jamil
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629006135
PECOS PAC ID: 6406822618
Enrollment ID: I20050714001014
Provider NameGary W Chung
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275642779
PECOS PAC ID: 3678540614
Enrollment ID: I20050801000825
Provider NameAndrew B Kopstein
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1124050117
PECOS PAC ID: 8224050836
Enrollment ID: I20051223000186
Provider NameJeanna M Hoyt
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548246689
PECOS PAC ID: 3779478102
Enrollment ID: I20080514000776
Provider NameBrant F Carroll
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154307999
PECOS PAC ID: 2062307499
Enrollment ID: I20080516000182
Provider NameJohn J Whitehead
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891866679
PECOS PAC ID: 0941370126
Enrollment ID: I20090727000195
Provider NameDaniel P Kelly
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578541090
PECOS PAC ID: 4284529611
Enrollment ID: I20100309000522
Provider NameBrian R Mckillop
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1255317392
PECOS PAC ID: 6305731738
Enrollment ID: I20100309000718
Provider NameAnastasia L Porter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922164607
PECOS PAC ID: 0345262952
Enrollment ID: I20120131000875
Provider NameBrice R Nicholson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508837584
PECOS PAC ID: 8022279892
Enrollment ID: I20120423000429
Provider NameBradley A Frederickson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174631899
PECOS PAC ID: 6608038013
Enrollment ID: I20120501000708
Provider NameJames Santoro
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578799292
PECOS PAC ID: 6406002104
Enrollment ID: I20120813000470
Provider NameKelly Minh-thy Bui
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235367103
PECOS PAC ID: 7911147764
Enrollment ID: I20140730002724
Provider NameJessica Leah Scherer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457728479
PECOS PAC ID: 2961712914
Enrollment ID: I20151104000695
Provider NameErin Seefeldt
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629225024
PECOS PAC ID: 5698905560
Enrollment ID: I20170712002871
Provider NameAlexander L Grigalunas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013279298
PECOS PAC ID: 6002186533
Enrollment ID: I20170717001687
Provider NameVanessa Margaretta Franklin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730538059
PECOS PAC ID: 8325316854
Enrollment ID: I20170906001102
Provider NameThao Phuong H Le
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578906988
PECOS PAC ID: 8325282270
Enrollment ID: I20180816002002
Provider NameRichard Anthony Beller
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396741005
PECOS PAC ID: 7012985310
Enrollment ID: I20190308002031
Provider NameNathan Derek Wilbanks
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1801275490
PECOS PAC ID: 2961737705
Enrollment ID: I20190716001450
Provider NameMckenzie Suzanne Fogarty
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063995181
PECOS PAC ID: 9931439353
Enrollment ID: I20190927002480
Provider NameShawn Nash
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1801203088
PECOS PAC ID: 0648586917
Enrollment ID: I20191212000910
Provider NameThomas Copperman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1710220330
PECOS PAC ID: 9739323585
Enrollment ID: I20200323003295
Provider NameRoger Allan Anderson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598797979
PECOS PAC ID: 5890882781
Enrollment ID: I20200327003197
Provider NameMargaux Selena Flaherty
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043872302
PECOS PAC ID: 0244644961
Enrollment ID: I20210120002514
Provider NameErica Julia Uman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629613146
PECOS PAC ID: 9638504749
Enrollment ID: I20210615001144
Provider NameJoshua Frenkel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356752091
PECOS PAC ID: 5597050971
Enrollment ID: I20220209000605
Provider NameTimothy G Mock
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063961654
PECOS PAC ID: 1153669890
Enrollment ID: I20221003002936
Provider NameJason Guo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962074310
PECOS PAC ID: 6608246830
Enrollment ID: I20230105000473
Provider NameChristina Lieu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689179293
PECOS PAC ID: 3678829447
Enrollment ID: I20230815002936

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, Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100		Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100

Reviews and Comments



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