Pamela Evans, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

04076T Issued in TX

Practice address

311 River Bend Dr
Georgetown, TX 78628-2782

Phone

(512) 931-2255

Fax

(512) 819-9528

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Evans-Berg Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pam@dietleineyecenter.ecldirect.net

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.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• Jon F Dietlein MD PA

  • Ophthalmology Physician
  • Georgetown, TX
  • NPI 1285797621

  Optometrist

  Medicare reassignment NPD
• Jon F Dietlein, M.D., P.a.

  dba Dietlein Optical Boutique

  • Durable Medical Equipment & Medical Supplies
  • Georgetown, TX
  • NPI 1295860930

  Optometrist

  NPD
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1316951056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RIVER BEND DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282782",
            "telephone_number": "512-931-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RIVER BEND DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282782",
            "telephone_number": "512-931-2255",
            "fax_number": "512-819-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PAMELA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04076T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "EVANS-BERG",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yailen Escobar Jomarron, CPT
• Yvonne A Essandoh, D.O.
• Estes Audiology-Sun City, PLLC
• Ethanwoods LLC
• Mikayla Rae Eubanks, M.A, CCC-SLP
• Evergreen Journey Counseling, PLLC
• Mary A Evers, DO
• Randall Dean Eversdyk, RN
• Eye Associates of Georgetown, PLLC
• Eyemasters of Texas LTD (EyeMasters)

• Optometrist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.

Verify at the official NPI Registry.