OrganizationActive
Evergreen Eye Center, PLLC
NPI 1104465012 · Ambulatory Surgical Clinic/Center · Tacoma, WA
Provider details
- NPI number
- 1104465012
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rosa Campos, Credentialing Manager
Mailing address
502 S M St
Tacoma, WA 98405-3728
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.