Evergreen Optometry PLLC
NPI 1710731104 · Optometrist · Hamburg, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Optometry PLLC is a Optometrist organization in Hamburg, NY (NPI 1710731104).
Provider details
- NPI number
- 1710731104
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mackenzie Bradley, Optometrist(716) 831-2717
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Eye Care
- Doing business as
- Evergreen Eye Care
Registry dates
- Enumerated
- 2024-04-12
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Evergreen Optometry PLLC's NPI number?
- Evergreen Optometry PLLC's National Provider Identifier (NPI) is 1710731104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Optometry PLLC?
- Evergreen Optometry PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Evergreen Optometry PLLC located?
- Evergreen Optometry PLLC's practice location on file with NPPES is 17 Long Ave Ste 102, Hamburg, NY 14075-6200.
- What is Evergreen Optometry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Optometry PLLC is (716) 831-2717.
- Does Evergreen Optometry PLLC accept Medicare?
- Evergreen Optometry 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 Optometry PLLC?
- The authorized official listed on Evergreen Optometry PLLC's NPPES record is Mackenzie Bradley, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Optometry PLLC's NPI active?
- Yes — Evergreen Optometry PLLC's NPI (1710731104) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.