EVERGREEN EYE CARE, PLLC

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Company Details

Legal Name:	EVERGREEN EYE CARE, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 6th 2007
Expiration date:	31 Dec 2025
UBI Number:	602 784 577
ZIP code:	98685
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	1319 NE 134TH ST, SUITE #107, VANCOUVER, WA, 98685-2718, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$137,395

Contact Details

E-Mail:	DRZ@EVERGREENEYECARE.COM
Phone Number:	+1 360-573-3937

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SUZANNE ZAMBERLAN	Registered Agent	1319 NE 134TH ST, SUITE 107, VANCOUVER, WA, 98685, UNITED STATES

Key Officers & Management

Name	Role
SUZANNE ZAMBERLAN	Governing Person

Unique Entity ID

Unique Entity ID:

Y8W3SNWPS7U5

UEI Expiration Date:

2026-03-24

Business Information

URL:

www.evergreeneyecare.com

Division Name:

EVERGREEN EYE CARE

Division Number:

N/A

Activation Date:

2025-03-26

Initial Registration Date:

2023-06-18

National Provider Identifier

NPI Number:

1255518239

Link:

View on NPI website

Authorized Person:

Name:

DR. SUZANNE T ZAMBERLAN

Role:

OWNER / OPTOMETRIST

Phone:

3605733937

Taxonomy:

Selected Taxonomy:

152W00000X - Optometrist

Is Primary:

Yes

Contacts:

Phone:

+1 360-573-3937

Fax:

3605743290

Form 5500 Series

Employer Identification Number (EIN):

261526249

Plan Year:

2023

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

3605733937

File:

Plan Year:

2022

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

3605733937

File:

Plan Year:

2021

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

3605733937

File:

Plan Year:

2020

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

3605733937

File:

Plan Year:

2019

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3605733937

File:

History

Type	Old value	New value	Date of change
Name change	EVERGREEN EYE CARE LLC	EVERGREEN EYE CARE, PLLC	2018-11-08

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$140,000

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$140,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$141,212.05

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $140,000

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