Evergreen Family Eye Care, Pllc
NPI #1477022002 in Yelm, Washington
Provider Information
- NPI Number
- 1477022002
- Entity Type
- Organization
- Organization Name
- Evergreen Family Eye Care, Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 13, 2018
- Last Updated
- Dec 3, 2020
Practice Location
- Address
- 17100 STATE ROUTE 507 SE
- City
- Yelm
- State
- Washington
- ZIP Code
- 98597-7605
- Phone
- (360) 400-8068
Authorized Official
- Name
- DEREK STURTEVANT, OD
- Title
- OPTOMETRIST
- Phone
- (360) 400-8068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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