William Lee Evans III, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK959 Issued in OK

Practice address

100 East 2ND St
Atoka, OK 74525-0000

Phone

(580) 889-3492

Fax

(580) 889-3499

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. William Lee Evans III Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Bill L Evans, Optometric Physician Inc., P.C.

  • Optometrist
  • Atoka, OK
  • NPI 1780887711
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1154356590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "address_2": "100 EAST 2ND ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "74525",
            "telephone_number": "580-889-3492",
            "fax_number": "580-889-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST 2ND ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745250000",
            "telephone_number": "580-889-3492",
            "fax_number": "580-889-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "EVANS",
            "middle_name": "LEE",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elmbrook of Atoka Operating Co LLC
• Noel W. Emerson, D.O.
• Angela Bellisario England, LMT
• Stephen Jerry Estep
• Mark Estus, B.A.
• Faith Based Counseling LLC
• Family Health Center of Southern Oklahoma Inc
• Family Health Center of Southern Oklahoma Inc
• Farris Public School
• Ann Faudree, MA

• Optometrist in Atoka, OK
• Providers in Atoka, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.