John O Evans, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003346-1 Issued in NY

Practice address

3200 West St
Canandaigua, NY 14424-1722

Phone

(585) 394-1358

Fax

(585) 394-0261

NPI assigned

Jun 26, 2006

Last updated

Jan 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• John O. Evans, O.D,

  • Eyewear Supplier
  • Canandaigua, NY
  • NPI 1861678112
  Authorized official Same address or phone

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1568499671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-1358",
            "fax_number": "585-394-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-1358",
            "fax_number": "585-394-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003346-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00449867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt McBride Erhardt, MD
• Eriah, Inc (Aberle Eye Care)
• John Peter Estabrook, MSW
• Samuel Estochen, NP
• Karl Eurenius, MD
• Cheryl Lynn Eveland, R.N.
• Nicholas Edward Evertz, DC
• Zoe Fackelman, PT
• Family Counseling Service of the Finger Lakes, Inc.
• Meridith Fargnoli, RD

• Optometrist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.