Evan Andrews, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006691 Issued in OH

Practice address

4708 W Broad St
Columbus, OH 43228-1613

Phone

(614) 878-7771

Fax

(614) 878-4000

NPI assigned

Jun 20, 2017

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Grace Vision, LLCGroup PAC ID 1658754783, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evanandrews@direct.eyecare-partners.com

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.

• Grace Vision, LLC

  • Clinic/Center
  • Reynoldsburg, OH
  • NPI 1225461544
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Midwest Inc

  dba Clarkson Eyecare

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment NPD
• Clarkson Optometry Midwest Inc

  dba Clarkson Eyecare

  • Optometrist
  • Uniontown, OH
  • NPI 1154901015
  NPD
• SVS Vision Inc

  • Optometrist
  • Warren, MI
  • NPI 1508130592
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1861912073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-468-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281613",
            "telephone_number": "614-878-7771",
            "fax_number": "614-878-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Great Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432074001",
            "country_code": "US",
            "telephone_number": "614-491-3435",
            "fax_number": "614-491-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "EVAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005066",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew & Carrie Granger Chiropractic, Inc (Polaris Neighborhood Chiropractic)
• Andrew B Wade DDS Ms LLC
• Andrew Colvin, PH.D., LLC
• Andrew D Quillin MD Dermatology LLC
• Ashley Yvonne Andrews
• Jacinda B Andrews
• Katelyn L Andrews
• Kathryn Andrews, MD
• Natalie Andrews, LPCC
• Regina Andrews

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.

Verify at the official NPI Registry.