Individual provider Active NPI

Tara Elizabeth Evanger-Dalke, O.D.

  • Optometrist
  • Walla Walla, WA
National Provider Identifier
1316222466
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60485177 Issued in WA
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

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141201000436 WA Practitioner - Optometry 6709006109 Reassigns benefits to 2 organizations
Practice locations: Kennewick, WA; Walla Walla, WA
I20181024002170 OR Practitioner - Optometry 6709006109 Reassigns benefits to 1 organization

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
Blue Mountain Eye PLLCGroup PAC ID 8628267085, 3 clinicians
Valley Vision Clinic PSGroup PAC ID 7416845508, 6 clinicians

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 100Reported as group
Quality
66.76
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
97.18
Improvement activities
40
Cost
76.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI3651ORMDOptometrist
60485177WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Clinic PS Optometrist CurrentSince Sep 20, 2023 Accepting new patients

Locations

22 W Main St
Walla Walla, WA 99362
Phone (509) 279-2176

Interoperability endpoints

  • Direct secure messaging: drevanger@direct.revolutionehr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.