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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 Enumclaw, WA · enumerated 2006 · authorized official Rosa Campos, Credentialing Manager.

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

National Provider Identifier

1881763373

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Eye Center, Pllc

Other name <Unavail>

Practice address 2820 Griffin Ave Ste 101, Enumclaw, WA, 98022

Phone (360) 802-4549

Fax (360) 825-8354

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
891451	Other	WA	CRIME VICS ENUMCLAW EEC
WA0527	Other	WA	NBN
0870427	Other	WA	AETNA
7080781	Medicaid	WA	-
EV8144	Other	WA	KCM

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.

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