Evergreen Eye Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1821167479
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Evergreen Eye Surgery Center
PO BOX 25020
FEDERAL WAY, WA 980932020
Phone: (206) 212-2100
Fax: (206) 212-2171
Type: Mailing
Evergreen Eye Center, 34719, 6th Avenue South, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980038714
Phone: (206) 212-2100
Fax: (206) 212-2174
Type: Location
34719 6TH AVE S
FEDERAL WAY, WA 980038714
Phone: (206) 212-2100
Fax: (206) 212-2171
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040304000105 | O | Ambulatory Surgical Center | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 967 | 574 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 420 | 287 | $0 |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 125 | 95 | $0 |
| 65855 | Laser repair to improve eye fluid flow | 96 | 62 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 49 | 25 | $0 |
Insurance plans in this area (ZIP 98093)
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