EVERGREEN OPTICAL (NPI# 1366675621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366675621 |
| Entity Type | Organization |
| Organization Name | EVERGREEN OPTICAL |
| Other Organization Name | HANMI OPTICIANS |
| Practice Address |
3717 Union St Suite 1 Flushing NY 11354-5580 |
| Practice Telephone | 7184632500 |
| Mailing Telephone | 7184632500 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | MRS. OK JA KIM (OWNER) |
| Authorized Official Telephone | 7184632500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Hanmi Opticians | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVERGREEN OPTICAL, INC. | 2732 Debord Dr, Wenatchee, WA 98801 |
| Street Address |
3717 UNION ST SUITE 1 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565753 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 13107 40th Rd Ste A100, Flushing, NY 11354-5117 | 2020-10-10 |
| 1861052714 | Ilook 3.0 Inc | Eyewear Supplier (Equipment, not the service) | 13679 Roosevelt Ave, Flushing, NY 11354-5652 | 2019-06-13 |
| 1164971842 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 136-50 Roosevelt Ave, Flushing, NY 11354-5510 | 2016-09-23 |
| 1144401415 | Flushing Optical Inc | Eyewear Supplier (Equipment, not the service) | 3729 Main St, Flushing, NY 11354-4106 | 2007-11-15 |
| 1992141980 | Raymond Fong Md PC | Eyewear Supplier (Equipment, not the service) | 13620 38th Ave, Suite 6h, Flushing, NY 11354-4277 | 2013-05-16 |
| 1629304274 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 5925 Kissena Blvd, Flushing, NY 11355-5547 | 2009-11-02 |
| 1356573232 | Bright Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 13687 37th Ave, Flushing, NY 11354-4110 | 2009-08-11 |
| 1669602447 | Julia's Optical | Eyewear Supplier (Equipment, not the service) | 4101 Kissena Blvd, Flushing, NY 11355-3138 | 2009-07-15 |
| 1033366257 | Wei Min Inc. | Eyewear Supplier (Equipment, not the service) | 13608 37th Ave, Flushing, NY 11354-4111 | 2008-08-19 |
| 1972759827 | Michelle & Olivia Enterprise | Eyewear Supplier (Equipment, not the service) | 4101 Kissena Blvd, Flushing, NY 11355-3138 | 2008-08-12 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.