Organization Active NPI

Robert L Evans OD &Marilyn a Carter OD a Professional Corp

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1598087033
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4790 TPA Issued in CA
Legal business name
ROBERT L EVANS OD &MARILYN A CARTER OD A PROFESSIONAL CORP
Practice address
330 Oxford St
Suite 206
Chula Vista, CA 91911-3117
Phone
(619) 422-5361
Fax
(619) 422-7021
NPI assigned
Feb 25, 2010
Organization subpart
Yes
Parent organization
ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Robert Lee Evans. OD., OD.
Title
Owner
Phone
(619) 422-5361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT4790 TPA CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OP4834 CA

Addresses

Primary practice location

330 Oxford St
Suite 206
Chula Vista, CA 91911-3117

Mailing address

510 S Magnolia Ave
Dr Robert L. Evans. Marilyn a. Carter OD.
El Cajon, CA 92020-6011
Phone (619) 444-9012

Other identifiers 1

IdentifierTypeStateIssuer
1861461972MedicaidCA

Other names 1

  • ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP. Doing business as

National Provider Directory

National Provider Directory
Part of
RL Evans Ma Carter Professional Corporation

Locations

510 S Magnolia Ave
#L
El Cajon, CA 92020

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1598087033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S MAGNOLIA AVE",
            "address_2": "DR ROBERT L. EVANS. MARILYN A. CARTER OD.",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206011",
            "telephone_number": "619-444-9012",
            "fax_number": "619-444-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OXFORD ST",
            "address_2": "SUITE 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113117",
            "telephone_number": "619-422-5361",
            "fax_number": "619-422-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L EVANS OD &MARILYN A CARTER OD A PROFESSIONAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.",
        "enumeration_date": "2010-02-25",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "EVANS. OD.",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-422-5361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4790 TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP4834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861461972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.