Evergreen Optometry LLC

NPI #1861876203 in Kennewick, Washington

Provider Information

NPI Number: 1861876203
Entity Type: Organization
Organization Name: Evergreen Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 15, 2015
Last Updated: Jan 25, 2016

Practice Location

Address: 2811 W 10TH AVE
Address 2: SUITE C
City: Kennewick
State: Washington
ZIP Code: 99336-3104
Phone: (509) 734-2511

Authorized Official

Name: CHRISTINE CHONG, OD
Title: PROVIDER
Phone: (509) 734-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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