Individual provider Active NPI

Lauren Kanemi Evans, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1144451741
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002816 Issued in AZ
Practice address
5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone
(520) 293-6740
Fax
(520) 293-6771
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13900T CA
Optometrist 152W00000X 322 AK
Optometrist 152W00000X OPT-002816 AZ Primary

Addresses

Primary practice location

5599 N Oracle Rd
Tucson, AZ 85704-3821

Mailing address

5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone (520) 293-6740

Other practice location 1

4505 E Greenstreet Cir
Wasilla, AK 99654-8425
Phone (907) 376-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120626000549 AK Practitioner - Optometry 9335311703 Reassigns benefits to 1 organization
I20241230000270 AZ Practitioner - Optometry 9335311703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone 5202936740103

Merit-based Incentive Payment System (MIPS)

Final score
70.09 of 100Reported as group
Quality
40
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002816AZMDOptometrist
13900TCAMDOptometrist
322AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Eye Center, Inc. Optometrist CurrentSince Jun 30, 2012 Accepting new patients
Northwest Eye Specialists L L C CurrentSince Dec 1, 2024 Accepting new patients
Northwest Eye Specialists,PLLC CurrentSince Dec 1, 2024 Accepting new patients
Alaska Center for the Blind and Visually Impaired Optometrist PastSince Jun 30, 2012 Accepting new patients
Northwest Eye Specialists L L C Past Accepting new patients
Tina S. Patel, O.D. , Professional Corporation PastSince Jan 5, 2025 Accepting new patients
Judy C. Liao O.D. Inc Optometrist PastSince Sep 4, 2023 Accepting new patients

Locations

4505 E Greenstreet Cir
Wasilla, AK 99654
Phone (907) 248-7770

10425 N Oracle Rd
Ste 135
Tucson, AZ 85737
Phone 5202936740103

5599 N Oracle Rd
Tucson, AZ 85704
Phone (520) 293-6740

Interoperability endpoints

  • Direct secure messaging: lauren.evans.p1@direct.eyestucson.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1144451741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 E Greenstreet Cir",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548425",
            "country_code": "US",
            "telephone_number": "907-376-2020",
            "fax_number": "907-357-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LAUREN",
        "middle_name": "KANEMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13900T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "322",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.