Jordan Evans, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2358 Issued in AZ

Practice address

2801 Park Marina Dr
Redding, CA 96001-2822

Phone

(530) 244-2273

Fax

(530) 244-2708

NPI assigned

Jul 13, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, ID2 enrollments

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 2

Specialty

Optometry

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Porter Eyecare PLLCGroup PAC ID 0345407656, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

92.2

Improvement activities

40

Cost

80.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Porter Eyecare PLLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1770851446
  Medicare reassignment Care Compare group NPD
• PBW Optometry P C

  • Corneal and Contact Management Optometrist
  • Kingman, AZ
  • NPI 1255468930
  Medicare reassignment NPD
• Riverside Eyecare Professionals Inc a Medical Corporation

  • Ophthalmology Physician
  • Redding, CA
  • NPI 1265158703
  NPD
• PBW Optometry PC

  • Eyewear Supplier
  • Lake Havasu City, AZ
  • NPI 1871048405
  NPD

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1225680853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JORDAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA OPTOMETRY LICENSE",
            "identifier": "OPT-002358",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Healthcare Group
• Brenda Estrada-Najera
• Ramona M Estrada
• Aleyse Nicole Evans
• Clinton Edward Evans, D.O.
• Kelsey Jean Evans, LVN
• Paul Christopher Evans, BPHARM
• Rebecca Noelle Evans, PA-C
• Stephanie Evans, D.C.
• William Walker Evans, D.M.D., M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.