Individual provider Active NPI

Evan A. Lowry, O.D.

  • Optometrist
  • Greensburg, PA
National Provider Identifier
1710965181
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000933 Issued in PA
Practice address
1821 Jefferson St
Greensburg, PA 15601-5518
Phone
(724) 837-5350
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG000933 PA
Low Vision Rehabilitation Optometrist 152WL0500X OEG000933 PA
Optometrist 152W00000X OEG000933 PA Primary

Addresses

Primary practice location

1821 Jefferson St
Greensburg, PA 15601-5518

Mailing address

1821 Jefferson St
Greensburg, PA 15601-5518
Phone (724) 837-5350

Other practice location 1

3055 Washington Rd Ste 304
Mc Murray, PA 15317-3279
Phone (724) 941-2309

Other identifiers 2

IdentifierTypeStateIssuer
439664OtherBLUE CROSS BLUE SHIELD
MA1004238MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000774 PA Practitioner - Optometry 8022121094 Reassigns benefits to 2 organizations
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000933PAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lappen Eye Care Greensburg LLC Optometrist CurrentSince Apr 4, 2023 Accepting new patients
Lappen Eye Care-South Inc Optometrist CurrentSince May 5, 2023 Accepting new patients

Locations

1821 Jefferson St
Greensburg, PA 15601
Phone (724) 836-2200

3055 Washington Rd
Ste 304
McMurray, PA 15317
Phone (724) 837-5350

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1710965181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 JEFFERSON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015518",
            "telephone_number": "724-837-5350",
            "fax_number": "724-837-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 JEFFERSON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015518",
            "telephone_number": "724-837-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Washington Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153173279",
            "country_code": "US",
            "telephone_number": "724-941-2309",
            "fax_number": "724-941-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "EVAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000933",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG000933",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "439664",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1004238",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.