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

Evergreen Optometry PLLC

Organization Optometrist · NPI 1710731104

Evergreen Optometry PLLC is an Optometrist in Hamburg, New York. Registered with an NPI since 2024.

In the registry since
2024
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

17 Long Ave Ste 102
Hamburg, NY 14075-6200
Phone: (716) 831-2717
Fax: (716) 831-2718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1710731104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mackenzie Bradley — Optometrist · (716) 831-2717
Other names Evergreen Eye Care; Evergreen Eye Care
NPI enumeratedApril 12, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address4845 Transit Rd Apt B7, Depew, NY 14043-4717

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