Evergreen Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO 00000833 Issued in WA

Legal business name

EVERGREEN OPTICAL INC.

Practice address

351 Orondo Ave
Wenatchee, WA 98801-2826

Phone

(509) 662-4747

Fax

(509) 663-5338

NPI assigned

Mar 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Jeanne Marie Miller

Title

Office Manager

Phone

(509) 662-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Mary Ryan, L.D.O.

  • Optician
  • Wenatchee, WA
  • NPI 1114310182
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1033502000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012826",
            "telephone_number": "509-662-4747",
            "fax_number": "509-663-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012826",
            "telephone_number": "509-662-4747",
            "fax_number": "509-663-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-662-4747",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO 00000833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itzel Evans-Ramirez, SUDPT
• Camille Evans
• Michael Monroe Evans
• Susan Ethel Evans, MSW
• Janis E Everett, PA-C
• Amy Evitt
• Eye & Ear Clinic of Wenatchee Inc
• Eye & Ear Clinic of Wenatchee Inc
• Eye & Ear Clinic of Wenatchee Inc
• Eye and Ear Clinic of Wenatchee Inc PS

• Optician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.