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EVERGREEN EYE CENTER, PLLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
TACOMA, WA
Licensed since
2019
Rate
—
Federal identifiers
NPI registry number1104465012
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients337
RevalidationDue 2026-05-31
Authorized official
NameROSA CAMPOS
TitleCREDENTIALING MANAGER
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