Evergreen Eye Center, Pllc
Ambulatory Surgical
1455 Nw Leary Way, Suite 300, Seattle
Washington, 98107-5136
206-342-6041 206-781-8693
Evergreen Eye Center, Pllc is a Ambulatory Surgical in Seattle, Washington. This organization is also known as sub part of Eye Associates Northwest, Pllc. It is located at 1455 Nw Leary Way, Suite 300, Seattle and it's customer support contact number is 206-342-6041. The authorized person of Evergreen Eye Center, Pllc is Gary Whakuk Chung, MD who is Authorized Official/physician of this DME and his contact number is 206-212-2100. Evergreen Eye Center, Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Evergreen Eye Center, Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Evergreen Eye Center, Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Evergreen Eye Center, Pllc |
| Type: | Ambulatory Surgical |
| Location: | 1455 Nw Leary Way, Suite 300, Seattle,
Washington, 98107-5136 |
| Phone: | 206-342-6041 |
| Fax: | 206-781-8693 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Gary Whakuk Chung |
| Credentials: | MD |
| Position: | Authorized Official/physician |
| Contact Number: | 206-212-2100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1184689408 |
| Parent Organization: | Eye Associates Northwest, Pllc |
| NPI Enumeration Date: | 19 Apr, 2006 |
| NPI Last Update On: | 30 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Eye Center, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Ambulatory Surgical | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| LABOR & INDUSTRIES | Other | Washington | 0014585 |
| 7094410 | Medicaid | Washington | |
Medicare Enrollment:
Evergreen Eye Center, Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173410057 | O20240821004659 | Evergreen Eye Center Pllc | PART B SUPPLIER - AMBULATORY SURGICAL CENTER |
Products Available:
Evergreen Eye Center, Pllc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1101 Madison St, Suite 600
Seattle, Washington |
| Zip: | 98104-1306 |
| Phone Number: | 206-215-2004 |
| Fax Number: | 206-215-2055 |
Patients can reach Evergreen Eye Center, Pllc at
1455 Nw Leary Way, Suite 300, Seattle, Washington or can
call on customer care at 206-342-6041.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.