Evan Michael Sims, OD

Individual provider Active NPI Optometrist · Wilder, KY

NPI 1093674277 · NPPES record last updated Jul 2, 2026

Key facts

NPI
1093674277
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2497DT (KY)
Practice address
1400 Gloria Terrell Dr Ste H
Wilder, KY 41076-9189
Phone
(859) 441-3400
NPI assigned
Jan 21, 2026
Sex
Male
Sole proprietor
No

Medicare Care Compare profile

Specialty
Optometry
Education
Southern California College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19100 Ridgewood Pkwy
San Antonio, TX 78259-1828

19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001

4069 Walton Creek Rd
Cincinnati, OH 45227-3931

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2497DT KY Yes

Addresses

Primary practice location

1400 Gloria Terrell Dr Ste H
Wilder, KY 41076-9189

Mailing address

1400 Gloria Terrell Dr Ste H
Wilder, KY 41076-9189

Other providers in Wilder, KY

All providers in Wilder, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.