Individual provider Active NPI

Joyce Ellen Roberts-Evans, O.D.

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1831213990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07560T Issued in CA
Practice address
350 John Muir Parkway
Suite 200
Brentwood, CA 94513
Phone
(925) 634-6101
Fax
(925) 634-1308
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07560T CA Primary

Addresses

Primary practice location

350 John Muir Parkway
Suite 200
Brentwood, CA 94513

Mailing address

1704 Chianti Way
Oakley, CA 94561-2233
Phone (925) 625-2507

Other names 1

  • Mrs. Joyce Ellen Evans Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07560TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Eye Care Optometrist PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831213990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 CHIANTI WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612233",
            "telephone_number": "925-625-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PARKWAY",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "94513",
            "telephone_number": "925-634-6101",
            "fax_number": "925-634-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-EVANS",
        "first_name": "JOYCE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07560T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "EVANS",
            "middle_name": "ELLEN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.