Evan Kelton Dackowski, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

81572 Issued in AZ

Practice address

1215 W Rio Salado Pkwy Ste 101
Tempe, AZ 85281-2954

Phone

(480) 480-2020

Fax

(480) 612-0150

NPI assigned

Mar 24, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Albert Einstein College of Medicine of Yeshiva University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edackowski139815@direct.luhs.org

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.

• Berkeley Eye Institute, PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1740286186
  Medicare reassignment Care Compare group NPD
• Berkeley Eye Institute, PLLC

  • Ophthalmology Physician
  • Dayton, TX
  • NPI 1346082872
  NPD
• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• Eye Consultants and Surgeons of Arizona LLC

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1942078969
  NPD (past)
• Clear Lake Eye Center LLP

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1275119661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W RIO SALADO PKWY STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812954",
            "telephone_number": "480-480-2020",
            "fax_number": "480-612-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W RIO SALADO PKWY STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812954",
            "telephone_number": "480-480-2020",
            "fax_number": "480-612-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACKOWSKI",
        "first_name": "EVAN",
        "middle_name": "KELTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "81572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D'Aloisio, M.P.T.
• James D'Apice II, DPT
• Annette Jo D'Armata, N.M.D.
• Trica Johanna-Regalado D'Spain, PT, DPT, TPS
• Da Capo Health LLC
• Notiosha Daddabbo, ADDICTIONS COUNSELOR
• Siobhan Dahley, CPHT
• Angelica Danielle Dains
• Daj Anesthesia MD PLLC
• Dakota Healthcare LLC

• Ophthalmology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.