Evan Beus OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EVAN BEUS OD PLLC

Doing business as

Wine Country Vision

Practice address

2410 Terrace Heights Dr Ste B
Yakima, WA 98901-1403

Phone

(509) 966-0675

Fax

(509) 823-4433

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Evan Clark Beus, ODNPI 1902387574

Title

Owner/Provider

Phone

(509) 972-6352

Specialties & licenses 1

Addresses

Other names 1

• Wine Country Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Clark Beus, OD

  • Optometrist
  • Yakima, WA
  • NPI 1902387574
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1306547377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 TERRACE HEIGHTS DR STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011403",
            "telephone_number": "509-972-6352",
            "fax_number": "509-823-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 TERRACE HEIGHTS DR STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011403",
            "telephone_number": "509-966-0675",
            "fax_number": "509-823-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 University Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989011448",
            "country_code": "US",
            "telephone_number": "509-966-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVAN BEUS OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "BEUS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-972-6352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wine Country Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Estrada
• Jason Louis Estrada, SUDPT
• Karina Estrada
• Sara Lynn Ettl, L.M.P.
• Eunoia Behavioral Health
• Austin Evans
• Kathleen E Evans, MD
• Kathleen T Evans, PHARM.D.
• Nicole Evans
• Patricia Lynn Evans, LMP

• Optometrist in Yakima, WA
• Providers in Yakima, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.