Evergreen Optometry LLC

Optometrist · Kennewick, WA

Organization Active NPI

NPI number 1861876203

Practice location

2811 W 10TH Ave
Suite C
Kennewick, WA 99336-3104
Phone
(509) 734-2511
Fax
(509) 734-1632

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NPI record

NPI
1861876203
Entity type
Organization (Type 2)
Enumeration date
July 15, 2015
Last updated
January 25, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OD60369639 WA

Mailing address

2811 W 10TH Ave
Kennewick, WA 99336-3104

Authorized official

Name
Christine Chong, OD
Title
Provider
Phone
(509) 734-2511

About Evergreen Optometry LLC

Evergreen Optometry LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2811 W 10TH Ave, Suite C, Kennewick, WA 99336-3104. The NPI number 1861876203 was assigned on July 15, 2015 and the record was last updated on January 25, 2016.

Evergreen Optometry LLC lists a license in the registry: #OD60369639 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Christine Chong, OD, Provider.

Frequently asked questions

What is the NPI number of Evergreen Optometry LLC?

The NPI number is 1861876203.

What is the phone number of Evergreen Optometry LLC?

The phone number listed for the practice location is (509) 734-2511.

Where is Evergreen Optometry LLC located?

2811 W 10TH Ave, Suite C, Kennewick, WA 99336-3104.

What is the taxonomy code for Evergreen Optometry LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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