| NPI | 1154399319 |
|---|---|
| Doing Business As | EVERGREEN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ROSA CAMPOS Credentialing Manager 206-215-2004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-01-12 |