Active NPI
Melvin Charles Evers, OD
- Optometrist
- Kissimmee, FL
National Provider Identifier
1699888495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1029
- Practice address
- 910 Emmett Street
Kissimmee, FL 34741 - Phone
- (407) 846-2277
- Fax
- (407) 846-3922
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1029 | FL | Primary |
Addresses
Primary practice location
910 Emmett Street
Kissimmee, FL 34741
Mailing address
910 Emmett Street
Kissimmee, FL 34741
Phone (407) 846-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084612100 | Medicaid | FL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1699888495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 EMMETT STREET",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-846-2277",
"fax_number": "407-846-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 EMMETT STREET",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-846-2277",
"fax_number": "407-846-3922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERS",
"first_name": "MELVIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084612100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.