# EVERGREEN EYE CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Associates Northwest Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861237364
- **Authorized official:** GARY WHAKUK CHUNG (MANAGER)
- **Authorized official phone:** (206) 212-2100

## Contact information

- **Practice address:** 1455 NW LEARY WAY STE 300, SEATTLE, WA 98107-5138
- **Practice address phone:** (206) 784-3550
- **Practice address fax:** (206) 342-6166
- **Mailing address:** 1101 MADISON ST STE 300, SEATTLE, WA 98104-1306
- **Mailing address phone:** (206) 784-3550
- **Mailing address fax:** (206) 342-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/27/2024