Individual provider Active NPI

Evan E Tong, O.D.

  • Optometrist
  • Milford, MA
National Provider Identifier
1477721967
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4727 Issued in MA
Practice address
192 West St
Milford, MA 01757-2273
Phone
(508) 473-0395
Fax
(508) 478-3392
NPI assigned
Feb 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4727 MA Primary

Addresses

Primary practice location

192 West St
Milford, MA 01757-2273

Mailing address

665 Bay Rd
Sharon, MA 02067-1505
Phone (617) 699-2844

Other identifiers 1

IdentifierTypeStateIssuer
110104278AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150812007953 MA Practitioner - Optometry 0648454892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Milford Eye Associates PCGroup PAC ID 5395746549, 4 clinicians

Practice addresses (Care Compare)

192 W St
Milford, MA 01757
Phone (508) 473-0395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4727MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Milford Eye Associates, P.C. Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Tchao Eye Associates LLC Optometrist CurrentSince Feb 4, 2024 Accepting new patients
Optometric Providers of Rhode Island, Inc Optometrist Past Accepting new patients

Locations

340 Wood Rd
Ste 2020
Braintree, MA 02184
Phone (781) 794-2200

192 West St
Milford, MA 01757
Phone (508) 473-0395

Organizations & group practices 3

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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1477721967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 BAY RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671505",
            "telephone_number": "617-699-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572273",
            "telephone_number": "508-473-0395",
            "fax_number": "508-478-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "EVAN",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104278A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.