Active NPI
David L. Evans, O.D., P.a.
- Optometrist
- Little Rock, AR
National Provider Identifier
1295716439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2216
- Legal business name
- DAVID L. EVANS, O.D., P.A.
- Doing business as
- Evans Vision Center
- Practice address
- 3700 S University Ave
Suite 19
Little Rock, AR 72204-6018 - Phone
- (501) 562-2297
- Fax
- (501) 562-6354
- NPI assigned
- Nov 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L. Evans, O.D.
- Title
- President
- Phone
- (501) 562-2297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2216 | AR | Primary |
Addresses
Primary practice location
3700 S University Ave
Suite 19
Little Rock, AR 72204-6018
Mailing address
3700 S University Ave
Suite 19
Little Rock, AR 72204-6018
Phone (501) 562-2297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105175722 | Medicaid | AR |
Other names 1
- Evans Vision Center
National Provider Directory
National Provider DirectoryLocations
3700 S University Ave
Ste 19
Little Rock, AR 72204
Phone (501) 562-2297
3700 S University Ave
Ste 20
Little Rock, AR 72204
Phone (501) 562-2297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1295716439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 S UNIVERSITY AVE",
"address_2": "SUITE 19",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722046018",
"telephone_number": "501-562-2297",
"fax_number": "501-562-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S UNIVERSITY AVE",
"address_2": "SUITE 19",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722046018",
"telephone_number": "501-562-2297",
"fax_number": "501-562-6354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L. EVANS, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-06",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-562-2297",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "2216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105175722",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Evans Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.