Evergreen Eye Center, Pllc

NPI #1881763373 in Enumclaw, Washington

Provider Information

NPI Number: 1881763373
Entity Type: Organization
Organization Name: Evergreen Eye Center, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Nov 7, 2006
Last Updated: Jan 12, 2024

Practice Location

Address: 2820 GRIFFIN AVE STE 101
City: Enumclaw
State: Washington
ZIP Code: 98022-2373
Phone: (360) 802-4549

Authorized Official

Name: ROSA ANGELICA CAMPOS
Title: CREDENTIALING MANAGER
Phone: (206) 215-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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