Organization Active NPI

David L. Evans, O.D., P.a.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1295716439
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2216 Issued in AR
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

Updated by the provider on Jul 23, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105175722MedicaidAR

Other names 1

  • Evans Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.