Active NPI
Arwen Lee Evans
- Optician
- Warner Robins, GA
National Provider Identifier
1538029970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO003108
- Practice address
- 502 Booth Rd
Warner Robins, GA 31088-3422 - Phone
- (478) 918-0636
- NPI assigned
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO003108 | GA | Primary |
Addresses
Primary practice location
502 Booth Rd
Warner Robins, GA 31088-3422
Mailing address
1007 Pine PL
Perry, GA 31069-2332
Phone (267) 301-4597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO003108 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1538029970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 PINE PL",
"city": "PERRY",
"state": "GA",
"postal_code": "310692332",
"telephone_number": "267-301-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 BOOTH RD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310883422",
"telephone_number": "478-918-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ARWEN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO003108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.