Organization
EVERGREEN EYE CENTER, PLLC
Active
Other names
EYE ASSOCIATES NORTHWEST, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J WHITEHEAD MD (AUTHORIZED OFFICIAL)
(206) 215-2004
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 600, SEATTLE, WA 98104-1340
(206) 215-2020
(206) 215-2022
Mailing address
33600 6TH AVE S, FEDERAL WAY, WA 98003-6743
(206) 260-2503
(855) 929-1515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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