NPIMap

Organization Active NPI

Evergreen Eyewear

  • Eyewear Supplier
  • Eugene, OR
National Provider Identifier
1578707386
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EVERGREEN EYEWEAR
Doing business as
Evergreen Eyewear
Practice address
82B Centennial Loop
Eugene, OR 97401-7909
Phone
(541) 780-6300
Fax
(541) 345-9218
NPI assigned
Apr 23, 2009
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LAUREL HILL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Mrs. Shawn D. Murphy, M.A., CPRPNPI 1205989464
Title
Executive Director
Phone
(541) 485-6340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optician 156FX1800X 162991 OR

Addresses

Primary practice location

82B Centennial Loop
Eugene, OR 97401-7909

Mailing address

2145 Centennial PLZ
Eugene, OR 97401-2421
Phone (541) 342-2020

Other identifiers 1

IdentifierTypeStateIssuer
079202MedicaidOR

Other names 1

  • Evergreen Eyewear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laurel Hill Center3 organizations share this tax ID, including this one
Part of
Laurel Hill Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

82 Centennial Loop
#B
Eugene, OR 97401
Phone (541) 684-6820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1578707386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 CENTENNIAL PLZ",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012421",
            "telephone_number": "541-342-2020",
            "fax_number": "541-345-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82B CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017909",
            "telephone_number": "541-780-6300",
            "fax_number": "541-345-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN EYEWEAR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL HILL CENTER",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-485-6340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CPRP"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OR",
            "license": "162991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079202",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.