Evergreen Oculofacial Plastic Surgery LLC
NPI 1669133492 · Ophthalmic Plastic and Reconstructive Surgery Physician · Bend, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Oculofacial Plastic Surgery LLC is a Ophthalmic Plastic and Reconstructive Surgery Physician organization in Bend, OR (NPI 1669133492).
Provider details
- NPI number
- 1669133492
- Entity type
- Organization
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Goecks, Owner(303) 228-3220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1190 Bookcliff Ave Unit 102Grand Junction, CO 81501-8159Phone: (303) 228-3220
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Frequently asked questions
- What is Evergreen Oculofacial Plastic Surgery LLC's NPI number?
- Evergreen Oculofacial Plastic Surgery LLC's National Provider Identifier (NPI) is 1669133492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Oculofacial Plastic Surgery LLC?
- Evergreen Oculofacial Plastic Surgery LLC is classified in the NPPES registry as Ophthalmic Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Oculofacial Plastic Surgery LLC located?
- Evergreen Oculofacial Plastic Surgery LLC's practice location on file with NPPES is 929 Sw Simpson Ave Ste 250, Bend, OR 97702-3599.
- What is Evergreen Oculofacial Plastic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Oculofacial Plastic Surgery LLC is (541) 585-0505.
- Does Evergreen Oculofacial Plastic Surgery LLC accept Medicare?
- Evergreen Oculofacial Plastic Surgery LLC 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 Oculofacial Plastic Surgery LLC?
- The authorized official listed on Evergreen Oculofacial Plastic Surgery LLC's NPPES record is Tara Goecks, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Oculofacial Plastic Surgery LLC's NPI active?
- Yes — Evergreen Oculofacial Plastic Surgery LLC's NPI (1669133492) is active in the NPPES registry as of the last update on 2024-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.