Evergreen Eye Center Inc., P.S. in Enumclaw - Ophthalmology
Evergreen Eye Center Inc., P.S. - NPI 1881763373
Evergreen Eye Center Inc., P.S. is a Ophthalmology in Enumclaw, Washington. Evergreen Eye Center Inc., P.S. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Evergreen Eye Center Inc., P.S. is 1881763373. The last update date is 2020-08-22.
Evergreen Eye Center Inc., P.S.'s current location address is 2820 Griffin Ave Ste 101, Enumclaw, Washington. You can contact this provider via phone number 3608024549 and fax number 3608258354. The mailing address for Evergreen Eye Center Inc., P.S. is 2820 Griffin Ave Ste 101, Enumclaw, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Eye Center Inc., P.S. |
|---|---|
| Address | 2820 Griffin Ave Ste 101, Enumclaw, Washington |
| Phone Number | 3608024549 |
| Fax Number | 3608258354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Jarstad Steven John |
| Credentials | M.D. |
| Telephone Number | 2062122100 |
NPI Number Detail
| NPI Number | 1881763373 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2820 Griffin Ave Ste 101 |
|---|---|
| City | Enumclaw |
| State | Washington (WA) |
| Post Code | 980222373 |
| Phone Number | 3608024549 |
| Fax Number | 3608258354 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870427 | WA | AETNA | |
| 7080781 | WA | -- | |
| 891451 | WA | CRIME VICS ENUMCLAW EEC | |
| EV8144 | WA | KCM | |
| WA0527 | WA | NBN |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Eye Center Inc., P.S. by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen Eye Center Inc., P.S. has been assigned the NPI (National Provider Identifier) 1881763373. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Evergreen Eye Center Inc., P.S. is located?
The Evergreen Eye Center Inc., P.S. is situated at the following address: 2820 Griffin Ave Ste 101, Enumclaw, WA, 980222373.
What is Evergreen Eye Center Inc., P.S.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evergreen Eye Center Inc., P.S. is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
When was the Evergreen Eye Center Inc., P.S.'s 1881763373 issued?
The Evergreen Eye Center Inc., P.S.'s 1881763373 was issued on 2006-11-07.
As of what date were the details related to Evergreen Eye Center Inc., P.S. most recently updated or revised?
The information pertaining to Evergreen Eye Center Inc., P.S., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.