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Evergreen Oculofacial Plastic Surgery LLC

Ophthalmic Plastic and Reconstructive Surgery Physician in Bend, OR · enumerated 2022 · authorized official Tara Goecks, Owner.

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

National Provider Identifier

1669133492

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Oculofacial Plastic Surgery LLC
Practice address 929 Sw Simpson Ave Ste 250, Bend, OR, 97702
Phone (541) 585-0505
Enumeration date Jan 4, 2022
Last updated in NPPES Mar 20, 2024

Taxonomy & classification

207WX0200X Ophthalmic Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tara Goecks
Title Owner
Phone (303) 228-3220

Other identifiers

Identifier Type State Issuer
1598051732 Other CO ANTHEM

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 is the NPI number for Evergreen Oculofacial Plastic Surgery LLC?
The NPI for Evergreen Oculofacial Plastic Surgery LLC is 1669133492, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Oculofacial Plastic Surgery LLC?
NPPES lists Tara Goecks (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-20.