Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Eye Center, Pllc

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

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

National Provider Identifier

1700959293

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Eye Center, Pllc

Other name <Unavail>

Practice address 34719 6th Ave S, Federal Way, WA, 98003

Phone (206) 212-2100

Fax (206) 212-2194

Enumeration date Nov 15, 2006

Last updated in NPPES Jan 4, 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
0870427	Other	WA	AETNA NUMBER
WA0527	Other	WA	EEC NBN NUMBER
891451	Other	WA	CRIME VICTIMS EEC NUMBER
EV8144	Other	WA	EEC KCM GROUP NUMBER
59460	Other	WA	EEC L&I NUMBER
7080781	Medicaid	WA	-
2017242	Medicaid	WA	-
P04799	Other	WA	PCMB GROUP EEC NUMBER

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-04. Verify at npiregistry.cms.hhs.gov.

Where is Evergreen Eye Center, Pllc located?

The practice location on file with NPPES is in Federal Way, WA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-04.