Active NPI
Evans Optometry Clinic Inc.
- Optometrist
- Rancho Mirage, CA
National Provider Identifier
1215009618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6648T
- Legal business name
- EVANS OPTOMETRY CLINIC INC.
- Doing business as
- EVANS EYE CARE
- Practice address
- 71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901 - Phone
- (760) 674-8806
- Fax
- (760) 674-8826
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Evans
- Title
- Administrator
- Phone
- (760) 674-8806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6648T | CA | Primary |
Addresses
Primary practice location
71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901
Mailing address
71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901
Phone (760) 674-8806
Other practice location 1
71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901
Phone (760) 674-8806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410048237 | Other | CA | MEDICARE RAILROAD |
Other names 1
- EVANS EYE CARE
National Provider Directory
National Provider DirectoryLocations
44250 Town Center Way
Ste C10
Palm Desert, CA 92260
71956 Magnesia Falls Dr
Rancho Mirage, CA 92270
Phone (760) 621-8896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523491200000",
"number": "1215009618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71956 MAGNESIA FALLS DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704901",
"telephone_number": "760-674-8806",
"fax_number": "760-674-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71956 MAGNESIA FALLS DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704901",
"telephone_number": "760-674-8806",
"fax_number": "760-674-8826"
}
],
"practiceLocations": [
{
"address_1": "71956 Magnesia Falls Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922704901",
"country_code": "US",
"telephone_number": "760-674-8806",
"fax_number": "760-674-8826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EVANS OPTOMETRY CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2018-04-12",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "760-674-8806"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "6648T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410048237",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EVANS EYE CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EVANS EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.