Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Eye Center, Pllc

Ambulatory Surgical Clinic/Center 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

1821167479

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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) 212-2174

Enumeration date Nov 7, 2006

Last updated in NPPES Jan 12, 2024

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Rosa Campos

Title Credentialing Manager

Phone (206) 215-2004

Other identifiers

Identifier	Type	State	Issuer
490003159	Other	WA	RAILROAD MEDICARE ASC NUM
7081250	Medicaid	WA	-
EV5682	Other	WA	REGENCE ASC NUMBER
P06705	Other	WA	PCMB ASC NUMBER
111881	Other	WA	L&I ASC NUMBER
NBN	Other	WA	WA0527

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 2024-01-12. 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 2024-01-12.