Brian Eveland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03452 Issued in MO

Practice address

3251 Bagnell Dam Blvd
Lake Ozark, MO 65049-9745

Phone

(573) 365-3717

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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 College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paige Hedgpath OdpcGroup PAC ID 5991856460, 25 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.eveland@direct.revolutionehr.com

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.

• Paige Hedgpath OD,PC

  dba Eyes On Missouri

  • Optometrist
  • Jefferson City, MO
  • NPI 1962644732
  Medicare reassignment Care Compare group NPD
• B &B Eyecare, LLC

  dba Family Eyecare Associates

  • Optometrist
  • Lake Ozark, MO
  • NPI 1255414918
  NPD (past) Authorized official
• Lake Ozark Family Eyecare, Inc.

  dba Family eyecare Associates

  • Optometrist
  • Lake Ozark, MO
  • NPI 1427234970
  Authorized official Same address or phone
• Paige Hedgpath Odpc

  dba Eyes On Missouri

  • Optometrist
  • Columbia, MO
  • NPI 1669530887
  NPD
• Lake Family Vision Center Inc

  dba Family Eyecare Associates

  • Optometrist
  • Laurie, MO
  • NPI 1720128713
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265449920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 ARBOR CT",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BAGNELL DAM BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499745",
            "telephone_number": "573-365-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELAND",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "535606",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "170546",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Duncan-Ash, LPC
• Cibele F.C. Elliott, LPC
• Embark by Calo
• Carissa Lynn Esposito, PTA
• Patricia J Evans, MA
• Allison Lynn Foster
• Kelly K Frisella, O.D.
• Nicole R Fuglsang, MA, LPC
• Brenn Robert Gent, LPC
• Larry Mark Goforth, D.C.

• Optometrist in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.