Evergreen Eye Center, PLLC
NPI 1407401920ActiveOrganization· Ophthalmology· Tacoma, WA
Ophthalmology in Tacoma, Washington, registered in NPPES in August 2019, part of Evergreen Eye Center, PLLC. The authorized official on file is Rosa Campos, Credentialing Manager.
Overview
| NPI | 1407401920 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Evergreen Eye Center, PLLC |
| NPI issued | Aug 2, 2019 |
| Last updated in NPPES | Jan 12, 2024 |
| Certified by provider | Jan 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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