Active NPI
Laura R. Evans, O.D.
- Optometrist
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03451
- Practice address
- 3230 Blattner Dr.
Cape Girardeau, MO 63703-6380 - Phone
- (573) 334-2020
- Fax
- (573) 334-2915
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- 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 | T03451 | MO | Primary |
Addresses
Primary practice location
3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Mailing address
3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Phone (573) 334-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314852815 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Saint Louis University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 E Jackson Blvd
Jackson, MO 63755-2436
Phone (573) 243-2020
707 N Main St
Leet Eye Care
Perryville, MO 63775-1303
Phone (573) 547-1898
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory S. Leet, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Tennessee Vision Partners PLLC | Optometrist | Past | Accepting new patients |
| Nto Denton, PLLC | Optometrist | Past | Accepting new patients |
Locations
3230 Blattner Dr
Cape Girardeau, MO 63703
Phone (573) 334-2020
3140 Blattner Dr
Cpe Girardeau, MO 63703
Phone (573) 334-2020
2110 E Jackson Blvd
Jackson, MO 63755
Phone (314) 334-2020
1014 E Jackson Blvd
Jackson, MO 63755
Phone (573) 243-2020
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 and National Provider Directory roles.
-
- Optometrist
- Cape Girardeau, MO
- NPI 1881734804
-
- Optometrist
- Denton, TX
- NPI 1750731253
-
- Optometrist
- Jackson, TN
- NPI 1902317381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831263375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 BLATTNER DR.",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036380",
"telephone_number": "573-334-2020",
"fax_number": "573-334-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 BLATTNER DR.",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036380",
"telephone_number": "573-334-2020",
"fax_number": "573-334-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LAURA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314852815",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
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.
- 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.