John Evans MD Ophthalmology Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35078998E Issued in OH

Legal business name

JOHN EVANS MD OPHTHALMOLOGY INC

Practice address

1534 11TH St
Portsmouth, OH 45662-4524

Phone

(740) 355-1161

Fax

(740) 355-1191

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Denoon Evans, MDNPI 1386646644

Title

Owner

Phone

(740) 355-1161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Denoon Evans, M.D.

  • Ophthalmology Physician
  • Portsmouth, OH
  • NPI 1386646644
  Medicare reassignment NPD Authorized official
• Robert J Knox, M.D.

  • Ophthalmology Physician
  • Portsmouth, OH
  • NPI 1790782035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1043482383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624524",
            "telephone_number": "740-355-1161",
            "fax_number": "740-355-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624524",
            "telephone_number": "740-355-1161",
            "fax_number": "740-355-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN EVANS MD OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DENOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-355-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35078998E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Ditraglia Inc
• Amanda Johnson
• Brad Anothy Johnson, D.C.
• Brock A Johnson, MD
• Danae Lee Johnson
• Dustin Lee Johnson, MD

• Ophthalmology Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.