Evergreen Eye Center, Pllc
Evergreen Eye Center, Pllc is a healthcare organization registered as Ophthalmology Physician in Enumclaw, WA, holding Type 2 (organization) NPI 1881763373 since 2006. The authorized official on file is Rosa Campos, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881763373 |
|---|---|
| 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 | 3608024549 |
| Fax | 3608258354 |
| Enumeration date | 2006-11-07 |
| Last updated in NPPES | 2024-01-12 |
Authorized official
| Name | Rosa Campos |
|---|---|
| Title | Credentialing Manager |
| Phone | 2062152004 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | — | — |
| 207W00000X | Ophthalmology Physician | Primary | — | — |
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 |
Copy-ready billing details
Provider: Evergreen Eye Center, Pllc NPI: 1881763373 Taxonomy: 207W00000X (Ophthalmology Physician) Address: 2820 GRIFFIN AVE STE 101, Enumclaw, WA, 98022
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023416286 | Ankle & Foot Specialists of Puget Sound, Ps | Organization | Podiatrist | Enumclaw, WA |
Verify this record
Cross-check NPI 1881763373 against the authoritative CMS record: view Evergreen Eye Center, Pllc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Evergreen Eye Center, Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-12.