NPI | 1346319852 |
---|---|
Doing Business As | EVERGREEN EYE CENTER, PLLC |
Entity Type | Organization |
Authorized Contact | ROSA CAMPOS Credentialing Manager 206-215-2004 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-11-07 |
Last Update Date | 2024-01-12 |