Individual provider Active NPI

Karl Dean Evans Jr., OD

  • Optometrist
  • Chandler, OK
National Provider Identifier
1386750180
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1175 Issued in OK
Practice address
113 N Highway 18
Chandler, OK 74834-1200
Phone
(405) 258-1234
NPI assigned
Aug 22, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1175 OK Primary

Addresses

Primary practice location

113 N Highway 18
Chandler, OK 74834-1200

Mailing address

113 N Highway 18
PO Box 68
Chandler, OK 74834-1200
Phone (405) 258-1234

Other identifiers 1

IdentifierTypeStateIssuer
100762700AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20060914000646 OK Practitioner - Optometry 5597769083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 N Hwy 18
Chandler, OK 74834-1200
Phone (405) 258-1234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
K. Dean Evans Jr., OD PC Optometrist CurrentSince Jul 1, 2000 Accepting new patients

Locations

113 N Highway 18
Chandler, OK 74834
Phone (405) 258-1234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1386750180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N HIGHWAY 18",
            "address_2": "PO BOX 68",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748341200",
            "telephone_number": "405-258-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N HIGHWAY 18",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748341200",
            "telephone_number": "405-258-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KARL",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, OK

Sources for this page

Verify at the official NPI Registry.