Active NPI
Tara Elizabeth Evanger-Dalke, O.D.
- Optometrist
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60485177
- Practice address
- 1610 Penny LN
Walla Walla, WA 99362 - Phone
- (509) 540-3937
- Fax
- (509) 540-3938
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI3651 | OR | |
| Optometrist | 152W00000X | 60485177 | WA | Primary |
Addresses
Primary practice location
1610 Penny LN
Walla Walla, WA 99362
Mailing address
PO Box O
Walla Walla, WA 99362-0212
Phone (509) 540-3937
Other practice location 1
1070 W Elm Ave Ste A
Hermiston, OR 97838-2711
Phone (509) 540-3937
Other practice location 2
22 W Main St
Walla Walla, WA 99362-2816
Phone (509) 529-2020
Other names 1
- Tara Elizabeth Evanger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 2ND Ave
Walla Walla, WA 99362-4116
Phone (509) 540-3937
1070 W Elm Ave
Hermiston, OR 97838-2711
Phone (509) 540-3937
1610 Penny LN
Walla Walla, WA 99362-4477
Phone (509) 540-3937
22 W Main St
Walla Walla, WA 99362-2816
Phone 50952920209411
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.38 of 100
- Quality
- 66.76
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.05 of 100
- Quality
- 97.18
- Improvement activities
- 40
- Cost
- 76.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI3651 | OR | MD | Optometrist |
| 60485177 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Vision Clinic PS | Optometrist | Current | Accepting new patients |
Locations
22 W Main St
Walla Walla, WA 99362
Phone (509) 279-2176
Interoperability endpoints
- drevanger@direct.revolutionehr.com
- tevanger@lec.emadirect.md
Organizations & group practices 2
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.
-
dba Lifestyle Eye Center
- Ophthalmology Physician
- Walla Walla, WA
- NPI 1255631016
OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1316222466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX O",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620212",
"telephone_number": "509-540-3937",
"fax_number": "509-540-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 PENNY LN",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-540-3937",
"fax_number": "509-540-3938"
}
],
"practiceLocations": [
{
"address_1": "1070 W Elm Ave Ste A",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978382711",
"country_code": "US",
"telephone_number": "509-540-3937",
"fax_number": "509-540-3938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 W Main St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993622816",
"country_code": "US",
"telephone_number": "509-529-2020",
"fax_number": "509-529-2115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANGER-DALKE",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI3651",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60485177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "EVANGER",
"middle_name": "ELIZABETH",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.