Jadyn Evans, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14016 Issued in CA

Practice address

24400 Jackson Ave Ste. a
Murrieta, CA 92562-1987

Phone

(951) 677-5144

NPI assigned

Jul 16, 2010

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

• Jadyn Wilkes Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alex Tadros Optometric CorporationGroup PAC ID 6507250297, 5 clinicians

Practice addresses (Care Compare)

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.

• Alex Tadros Optometric Corporation

  dba California Oaks Vision Center of Optometry

  • Optometrist
  • Murrieta, CA
  • NPI 1851922470
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1174836373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE",
            "address_2": "STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629030",
            "telephone_number": "619-804-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 JACKSON AVE STE. A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621987",
            "telephone_number": "951-677-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JADYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GE3092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADYN",
            "last_name": "WILKES",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Estrada
• Maria Estrada
• Veronica Nicole Estrada
• Rhoda Galinato Estrella-Itchon, M.D.
• Barrett Hunter Eubanks, MD
• Richard Lawrence Evans, D.P.M
• Ryan Richard Evans, O.D.
• Todd Hart Evans, DDS
• Everside Health Reep
• Evolve Surgical Group

• Optometrist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.