OrganizationActive
Evergreen Eye Center, PLLC
NPI 1407401920 · Ophthalmology Physician · Tacoma, WA
Provider details
- NPI number
- 1407401920
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Evergreen Eye Center, PLLC
- Organization subpart
- Yes
- Authorized official
- Rosa Campos, Credentialing Manager(206) 215-2004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
502 S M St
Tacoma, WA 98405-3728
Phone: (800) 340-3595
Street-level locationGet directions
Mailing address
502 S M St
Tacoma, WA 98405-3728
Other names (DBA / former)
- Doing business as
- Evergreen Eye Center
- Doing business as
- Evergreen Eye Center
Registry dates
- Enumerated
- 2019-08-02
- 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.