Evergreen Optical
Evergreen Optical is a healthcare organization registered as Eyewear Supplier in Flushing, NY, holding Type 2 (organization) NPI 1366675621 since 2009. The authorized official on file is Ok Ja Kim, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366675621 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Optical |
| Other name | <Unavail> |
| Practice address | 3717 UNION ST, SUITE 1, Flushing, NY, 11354 |
| Phone | 7184632500 |
| Enumeration date | 2009-09-02 |
| Last updated in NPPES | 2009-09-02 |
Authorized official
| Name | Ok Ja Kim |
|---|---|
| Title | Owner |
| Phone | 7184632500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Copy-ready billing details
Provider: Evergreen Optical NPI: 1366675621 Taxonomy: 332H00000X (Eyewear Supplier) Address: 3717 UNION ST, SUITE 1, Flushing, NY, 11354
Verify this record
Cross-check NPI 1366675621 against the authoritative CMS record: view Evergreen Optical on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Evergreen Optical?
What is the NPI number for Evergreen Optical?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-09-02.