Active NPI
Lauren Evans, OD
- Optometrist
- Saint Michael, MN
National Provider Identifier
1790458081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3749
- Practice address
- 400 Central Ave E
Saint Michael, MN 55376-9525 - Phone
- (763) 497-2020
- NPI assigned
- Aug 1, 2021
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 3749 | MN | Primary |
Addresses
Primary practice location
400 Central Ave E
Saint Michael, MN 55376-9525
Mailing address
4455 Highway 169 N
Plymouth, MN 55442-2897
Phone (763) 559-7358
Other practice location 1
4455 Highway 169 N
Plymouth, MN 55442-2897
Phone (763) 559-7358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4455 Hwy 169 N
Plymouth, MN 55442
Phone (763) 746-3391
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.01 of 100
- Quality
- 84.02
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Don Sealock, O.D., P.a. | Past | Accepting new patients | |
| Hometown Eye Care, Inc | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- lauren.evans.p1@direct.eyecarepartners.nextgenshare.com
Organizations & group practices 3
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.
-
dba Four Seasons Eyecare - Maple Grove
- Eyewear Supplier
- Maple Grove, MN
- NPI 1538624341
-
- Optometrist
- Big Lake, MN
- NPI 1841221785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1790458081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 HIGHWAY 169 N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422897",
"telephone_number": "763-559-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE E",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769525",
"telephone_number": "763-497-2020"
}
],
"practiceLocations": [
{
"address_1": "4455 Highway 169 N",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554422897",
"country_code": "US",
"telephone_number": "763-559-7358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "LAUREN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-01",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Michael, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.