Evergreen Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3902 Issued in WA

Legal business name

EVERGREEN EYE CARE, LLC

Practice address

1319 NE 134TH St Ste 107
Vancouver, WA 98685-2718

Phone

(360) 573-3937

Fax

(360) 574-3290

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne T Zamberlan, O.D.NPI 1396748620

Title

Owner / Optometrist

Phone

(360) 573-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Suzanne Therese Zamberlan, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1396748620
  Medicare reassignment Care Compare group NPD Authorized official
• Evelyn Y. Hu, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1205183738
  Medicare reassignment Care Compare group NPD
• Rachel Grace Horrocks, O.D.

  • Optometrist
  • Lake Oswego, OR
  • NPI 1245483452

  WA

  Medicare reassignment Care Compare group NPD
• Patricia Lyn Hazell, O.D.

  • Optometrist
  • Lubbock, TX
  • NPI 1154453199
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1255518239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-573-3937",
            "fax_number": "360-574-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-573-3937",
            "fax_number": "360-574-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "ZAMBERLAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "360-573-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Behavioral Health PC
• Evergreen Counseling Services, PC
• Evergreen Dental
• Evergreen Dental
• Evergreen Denture Center
• Evergreen Foot & Ankle Specialists PLLC
• Evergreen Medical Transportation LLC
• Evergreen Myohabits LLC
• Evergreen Pediatric Clinic PS
• Evergreen Prosthetics and Orthotics, LLC

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.