Evergreen Eye Center, Pllc - Medicare in Federal Way, WA

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Evergreen Eye Center, Pllc is a medicare enrolled "Ophthalmology" provider in Federal Way, Washington. Their current practice location is 34719 6th Ave S, Federal Way, Washington. You can reach out to their office (for appointments etc.) via phone at (206) 212-2100.

Evergreen Eye Center, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Evergreen Eye Center, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700959293.

Contact Information

Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714
(206) 212-2100
(206) 212-2194

Map and Direction




Healthcare Provider's Profile

Full NameEvergreen Eye Center, Pllc
TypeFacility
SpecialityOphthalmology
Location34719 6th Ave S, Federal Way, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700959293
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173410057
  • Enrollment ID: O20040304001193

Medical Identifiers

Medical identifiers for Evergreen Eye Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700959293NPI-NPPES
0870427OtherWAAETNA NUMBER
WA0527OtherWAEEC NBN NUMBER
891451OtherWACRIME VICTIMS EEC NUMBER
EV8144OtherWAEEC KCM GROUP NUMBER
59460OtherWAEEC L&I NUMBER
7080781MedicaidWA
2017242MedicaidWA
P04799OtherWAPCMB GROUP EEC NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evergreen Eye Center, Pllc acts as a billing entity for following providers:
Provider NameJohn T Heffernan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093791121
PECOS PAC ID: 4981599313
Enrollment ID: I20040607000975
Provider NameRobert A Tester
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689783268
PECOS PAC ID: 4587641881
Enrollment ID: I20040706000267
Provider NameGary W Chung
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275642779
PECOS PAC ID: 3678540614
Enrollment ID: I20050801000825
Provider NameAndrew B Kopstein
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1124050117
PECOS PAC ID: 8224050836
Enrollment ID: I20051223000186
Provider NameJohn J Whitehead
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891866679
PECOS PAC ID: 0941370126
Enrollment ID: I20090727000195
Provider NameBrice R Nicholson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508837584
PECOS PAC ID: 8022279892
Enrollment ID: I20120423000429
Provider NameBradley A Frederickson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174631899
PECOS PAC ID: 6608038013
Enrollment ID: I20120501000708
Provider NameJames Santoro
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578799292
PECOS PAC ID: 6406002104
Enrollment ID: I20120813000470
Provider NameKelly Minh-thy Bui
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235367103
PECOS PAC ID: 7911147764
Enrollment ID: I20140730002724
Provider NameJessica Leah Scherer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457728479
PECOS PAC ID: 2961712914
Enrollment ID: I20151104000695
Provider NameErin Seefeldt
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629225024
PECOS PAC ID: 5698905560
Enrollment ID: I20170712002871
Provider NameAlexander L Grigalunas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013279298
PECOS PAC ID: 6002186533
Enrollment ID: I20170717001687
Provider NameRichard Anthony Beller
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396741005
PECOS PAC ID: 7012985310
Enrollment ID: I20190308002031
Provider NameMckenzie Suzanne Fogarty
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063995181
PECOS PAC ID: 9931439353
Enrollment ID: I20190927002480
Provider NameRoger Allan Anderson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598797979
PECOS PAC ID: 5890882781
Enrollment ID: I20200327003197
Provider NameJoshua Frenkel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356752091
PECOS PAC ID: 5597050971
Enrollment ID: I20220209000605
Provider NameJason Guo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962074310
PECOS PAC ID: 6608246830
Enrollment ID: I20230105000473

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evergreen Eye Center, Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100		Evergreen Eye Center, Pllc
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.