Individual provider Active NPI

Julie C Evans, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1245616101
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6357 Issued in OH
Practice address
9252 Kenwood Rd
Cincinnati, OH 45242-3706
Phone
(513) 891-4121
Fax
(513) 891-4179
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6357 OH Primary

Addresses

Primary practice location

9252 Kenwood Rd
Cincinnati, OH 45242-3706

Mailing address

15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20150915002512 OH Practitioner - Optometry 6901113547 Reassigns benefits to 1 organization
I20190131003214 KY Practitioner - Optometry 6901113547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

2498 Dixie Hwy
Fort Mitchell, KY 41017-3010
Phone (859) 331-0431

8118 Montgomery Rd
Cincinnati, OH 45236-2935
Phone (513) 891-9030

9525 Kenwood Rd
Blue Ash, OH 45242-6176
Phone (513) 891-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6357OHMDPsychologist
2127KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Aug 20, 2016 Accepting new patients
20-20 Eyecare PSC Optometrist Past Accepting new patients

Locations

1650 S Union Ave
Alliance, OH 44601
Phone (330) 630-9699

Interoperability endpoints

  • Direct secure messaging: julieboyce@direct.eyecare-partners.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1245616101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423706",
            "telephone_number": "513-891-4121",
            "fax_number": "513-891-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.