Organization
EVERGREEN FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK STURTEVANT OD (OPTOMETRIST)
(360) 400-8068
Entity
Organization
Contact information
Practice address
17100 STATE ROUTE 507 SE, YELM, WA 98597-7605
(360) 400-8068
(360) 400-8068
Mailing address
1420 6TH AVE SW, OLYMPIA, WA 98502-5357
(617) 645-5708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
12/03/2020
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