Individual provider Active NPI

Julia Marie Evanoff, OD

  • Optometrist
  • Mason, OH
National Provider Identifier
1073136701
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006851 Issued in OH
Practice address
5185 Bowen Dr Ste 1000
Mason, OH 45040-7670
Phone
(513) 229-7365
NPI assigned
May 28, 2020
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006851 OH Primary

Addresses

Primary practice location

5185 Bowen Dr Ste 1000
Mason, OH 45040-7670

Mailing address

1206 Belle Meadows Dr
Loveland, OH 45140-6991

Other practice location 1

1090 State Route 28 Ste A
Milford, OH 45150-4937
Phone (513) 575-9464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260127002142 OH Practitioner - Optometry 7719464288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

1090 State Route 28
Suite a
Milford, OH 45150-4937
Phone (513) 575-9464

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006851OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
America's Best Contact & Eyeglasses PastSince May 31, 2020 Accepting new patients

Locations

1090 State Route 28
Ste A
Milford, OH 45150
Phone (513) 575-9464

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1073136701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 BELLE MEADOWS DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 BOWEN DR STE 1000",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407670",
            "telephone_number": "513-229-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 State Route 28 Ste A",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504937",
            "country_code": "US",
            "telephone_number": "513-575-9464",
            "fax_number": "513-575-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANOFF",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.