OrganizationActive
Eye Associates Northwest, PLLC
NPI 1154399319 · Eyewear Supplier · Kirkland, WA
Provider details
- NPI number
- 1154399319
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Eye Associates Northwest, PLLC
- Organization subpart
- Yes
- Authorized official
- Rosa Campos, Credentialing Manager(206) 215-2004
Specialties & taxonomies
Suppliers
Practice location
11325 Ne 120th St Ste 11325
Kirkland, WA 98034-6907
Phone: (425) 775-0548
Fax: (425) 670-6708
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Madison St
Seattle, WA 98104-1306
Other names (DBA / former)
- Doing business as
- Evergreen Optical
- Doing business as
- Evergreen Optical
Additional practice locations (1)
- 11919 Ne 128th StSte aKirkland, WA 98034-7204Phone: (425) 820-6307Fax: (425) 821-8836
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2024-01-12
- Certified
- 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.