| NPI | 1407401920 |
|---|---|
| Doing Business As | EVERGREEN EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSA CAMPOS Credentialing Manager 206-215-2004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-01-12 |