Individual provider Active NPI

Evan R Marchant, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1457368664
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD277 Issued in NV
Practice address
1965 Baring Blvd
Sparks, NV 89434-6734
Phone
(775) 358-1020
NPI assigned
Aug 1, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD277 NV Primary

Addresses

Primary practice location

1965 Baring Blvd
Sparks, NV 89434-6734

Mailing address

1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 358-1020

Other identifiers 1

IdentifierTypeStateIssuer
002516010MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100730000699 NV Practitioner - Optometry 2567590177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Wong Optometry PCGroup PAC ID 7719318781, 9 clinicians

Practice addresses (Care Compare)

1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 827-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD277NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Wong Optometry PC Optometrist Current Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

448 S Maine St
Fallon, NV 89406
Phone (775) 423-7411

18601 Wedge Pkwy
Ste 2B
Reno, NV 89511
Phone (775) 358-1020

18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020

9700 S McCarran Blvd
Reno, NV 89523
Phone (775) 746-8884

1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1457368664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-358-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-358-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHANT",
        "first_name": "EVAN",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002516010",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.