Evan Alan Phillips, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1638 Issued in KS

Practice address

11225 Nall Ave
Ste. 100
Leawood, KS 66211-1669

Phone

(913) 345-8020

Fax

(913) 338-5483

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leawood Family Eye Care PAGroup PAC ID 2860563129, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leawood Family Eye Care PA

  dba Leawood Family Eye Care

  • Optometrist
  • Leawood, KS
  • NPI 1215120209
  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Eye Care of Sumter

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1447449335
  NPD (past)
• Park & Phillips Eye Care PA

  dba Dr Dorothy Park & Associates

  • Optometrist
  • Columbia, SC
  • NPI 1902828585
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164506465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "STE. 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-345-8020",
            "fax_number": "913-338-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "STE. 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-345-8020",
            "fax_number": "913-338-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EVAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renae Peterson, DNP, FNP
• Shelly Lynne Peterson, PHD
• Traci Peterson
• Mark T Pfefer, D.C.
• Philip J Gordon DDS PA
• Stacy D. Phillips, O.D.
• Physical Medicine and Rehab Experts LLC
• Physicians Reference Laboratory
• Tereasa Lynnette Pickert, PA-C
• Molly R. Pierce, L.P.C., N.C.C.

• Optometrist in Leawood, KS
• Providers in Leawood, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.