Individual provider Active NPI

Wendy L Newman-Evans, O.D.

  • Optometrist
  • Canton, MA
National Provider Identifier
1881692598
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3263 Issued in MA
Practice address
1 Edward St
Canton, MA 02021-2303
Phone
(781) 828-3533
Fax
(782) 828-2471
NPI assigned
Jul 7, 2005
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3263 MA Primary

Addresses

Primary practice location

1 Edward St
Canton, MA 02021-2303

Mailing address

1 Chase Dr
Sharon, MA 02067-2904
Phone (617) 557-8497

Other identifiers 17

IdentifierTypeStateIssuer
152159OtherHARVARD/PILGRIM
0006356OtherNEIGHBORHOOD HEALTH PLAN
W15895OtherBLUE SHIELD-INDEMNITY
0354104OtherMASS HEALTH (DIV OF MED)
152159OtherHARVARD PILGRIM PPO
755245OtherTUFTS
9455613OtherCIGNA HEALTH CARE
755245OtherTUFTS COMMONWEALTH PPO
27611OtherCHILDREN'S MEDICAL SEC.
9455613OtherHEALTHSOURCE MASSACHUSETT
9919OtherDAVIS VISION (UNICARE)
755245OtherTUFTS SECURE HORIZONS
755245OtherTUFTS TOTAL HEALTH PLAN
MH1462OtherFIRST SENIORITY
152159OtherHARVARD PILGRIM POS
2200482OtherUNITED HEALTHCARE HMO PPO
755245OtherTUFTS BENEFIT ADMIN.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060519000017 MA Practitioner - Optometry 6800807330 Practice locations: Sharon, MA
I20240917002559 FL Practitioner - Optometry 6800807330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3263MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 14, 2024 Accepting new patients
National Vision, Inc. PastSince Aug 14, 2024 Accepting new patients
Premier Family Eyecare PC Optometrist Past Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1881692598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672904",
            "telephone_number": "617-557-8497",
            "fax_number": "253-663-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDWARD ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212303",
            "telephone_number": "781-828-3533",
            "fax_number": "782-828-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN-EVANS",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIM",
            "identifier": "152159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0006356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD-INDEMNITY",
            "identifier": "W15895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH (DIV OF MED)",
            "identifier": "0354104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PPO",
            "identifier": "152159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "755245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "9455613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS COMMONWEALTH PPO",
            "identifier": "755245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MEDICAL SEC.",
            "identifier": "27611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE MASSACHUSETT",
            "identifier": "9455613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION (UNICARE)",
            "identifier": "9919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "755245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS TOTAL HEALTH PLAN",
            "identifier": "755245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SENIORITY",
            "identifier": "MH1462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM POS",
            "identifier": "152159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE HMO PPO",
            "identifier": "2200482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS BENEFIT ADMIN.",
            "identifier": "755245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.