David G Evans, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1596 Issued in TN

Practice address

6060 Primacy Pkwy
Ste 200
Memphis, TN 38119-5770

Phone

(901) 761-4620

Fax

(907) 761-3072

NPI assigned

Jun 17, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Eye Care P aGroup PAC ID 2567358732, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Eye Care P a

  • Optometrist
  • Memphis, TN
  • NPI 1851423669
  Medicare reassignment Care Compare group NPD Authorized official
• Total Eye Care PA

  • Eyewear Supplier
  • Memphis, TN
  • NPI 1457362881

  Optometrist

  NPD Authorized official

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1063417863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195770",
            "telephone_number": "901-761-4620",
            "fax_number": "907-761-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195770",
            "telephone_number": "901-761-4620",
            "fax_number": "907-761-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-02-20",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599522",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Evans
• Benjamin F Evans, M.D.
• Betty Jane Evans, RN
• Brenda Mae Evans, FNP, MSN
• Cory Robert Evans, MD
• Debra Evans, CIT
• Elizabeth Marie Evans, BA
• Jeanine Evans, M.ED., NCC
• Jess G. Evans, PH.D
• Kiara Evans

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.