Organization Active NPI

Evans Optometry Clinic Inc.

  • Optometrist
  • Rancho Mirage, CA
National Provider Identifier
1215009618
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6648T Issued in CA
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

Updated by the provider on Apr 12, 2018

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
410048237OtherCAMEDICARE RAILROAD

Other names 1

  • EVANS EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.