Organization Active NPI

Evans Dry Eye Center PLLC

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1598678906
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EVANS DRY EYE CENTER PLLC
Practice address
2240 Saratoga Dr
Idaho Falls, ID 83404-5109
Phone
(208) 932-4265
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Kari Sue Ellis, RN
Title
Office Director
Phone
(317) 431-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2240 Saratoga Dr
Idaho Falls, ID 83404-5109

Mailing address

4367 E Glade Creek Rd
Idaho Falls, ID 83401-6542
Phone (317) 431-9777

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1598678906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 E GLADE CREEK RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016542",
            "telephone_number": "317-431-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SARATOGA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045109",
            "telephone_number": "208-932-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS DRY EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "317-431-9777",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.