Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Eye Center, PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104465012

Evergreen Eye Center, PLLC is an Ambulatory Surgical Clinic/Center in Tacoma, Washington. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 S M St
Tacoma, WA 98405-3728
Phone: (800) 340-3595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1104465012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Campos — Credentialing Manager · (206) 215-2004
NPI enumeratedDecember 26, 2019
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address502 S M St, Tacoma, WA 98405-3728

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