Evergreen Vision Corp.

NPI #1407885197 in Seattle, Washington

Provider Information

NPI Number: 1407885197
Entity Type: Organization
Organization Name: Evergreen Vision Corp.
Primary Specialty: Optometrist
Enumeration Date: Jul 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 412 12TH AVE S
Address 2: #205
City: Seattle
State: Washington
ZIP Code: 98144-2032
Phone: (206) 329-5700

Authorized Official

Name: DR. MICHELLE P.M NGO, O.D
Title: OPTOMETRIST
Phone: (206) 329-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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