Evergreen Eye Center, PLLC
NPI 1104465012 · Ambulatory Surgical Clinic/Center · Tacoma, WA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Eye Center, PLLC is a Ambulatory Surgical Clinic/Center organization in Tacoma, WA (NPI 1104465012).
Provider details
- NPI number
- 1104465012
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rosa Campos, Credentialing Manager(206) 215-2004
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
564 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 336 | $1,217 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 137 | $319 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 37 | $1,204 |
| Laser Repair to Improve Eye Fluid Flow65855 | 34 | $138 |
| Incision to Improve Eye Fluid Flow65820 | 20 | $2,196 |
Typical Medicare-allowed amounts for these services range $138–$2,196 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Frequently asked questions
- What is Evergreen Eye Center, PLLC's NPI number?
- Evergreen Eye Center, PLLC's National Provider Identifier (NPI) is 1104465012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Eye Center, PLLC?
- Evergreen Eye Center, PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evergreen Eye Center, PLLC located?
- Evergreen Eye Center, PLLC's practice location on file with NPPES is 502 S M St, Tacoma, WA 98405-3728.
- What is Evergreen Eye Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Eye Center, PLLC is (800) 340-3595.
- Does Evergreen Eye Center, PLLC accept Medicare?
- Evergreen Eye Center, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Eye Center, PLLC?
- The authorized official listed on Evergreen Eye Center, PLLC's NPPES record is Rosa Campos, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Eye Center, PLLC's NPI active?
- Yes — Evergreen Eye Center, PLLC's NPI (1104465012) is active in the NPPES registry as of the last update on 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.