Evergreen Eye Center, Pllc is a
Ophthalmology based in Tacoma, Washington. Evergreen Eye Center, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
502 S M St, Tacoma, Washington. It can be reached at their office (for appointments etc.) via phone at
(800) 340-3595.
NPI number for Evergreen Eye Center, Pllc is 1407401920 and their current mailing address is 502 S M St, Tacoma, Washington. Evergreen Eye Center, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407401920.
Healthcare Provider's Profile
| Full Name | Evergreen Eye Center, Pllc |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 502 S M St, Tacoma, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407401920
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 01/12/2024
Medical Identifiers
Medical identifiers for Evergreen Eye Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407401920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evergreen Eye Center, Pllc
502 S M St,
Tacoma, WA 98405-3728
Ph: () - | Evergreen Eye Center, Pllc
502 S M St,
Tacoma, WA 98405-3728
Ph: (800) 340-3595 |
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