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Evergreen Eye Center, Pllc

Q: What type of organization is Evergreen Eye Center, Pllc?

Evergreen Eye Center, Pllc is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).

Ophthalmology Physician in Burien, WA · enumerated 2006 · authorized official Rosa Campos, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538238043

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Eye Center, Pllc

Other name <Unavail>

Practice address 15153 5th Ave Sw, Burien, WA, 98166

Phone (800) 340-3595

Fax (855) 929-1515

Enumeration date Nov 7, 2006

Last updated in NPPES Jan 12, 2024

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Rosa Campos

Title Credentialing Manager

Phone (206) 215-2004

Other identifiers

Identifier	Type	State	Issuer
59460	Other	WA	L&I
7080781	Medicaid	WA	-
P04799	Other	WA	PCMB
2017242	Medicaid	WA	-
EV8144	Other	WA	KCM
0870427	Other	WA	AETNA
891451	Other	WA	CRIME VICTIMS
WA0527	Other	WA	NBN

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.

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Frequently asked questions

What type of organization is Evergreen Eye Center, Pllc?

Evergreen Eye Center, Pllc is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Jason Guo Optometrist · Burien, WA NPI 1962074310

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-12.