Active NPI
Evan Elam, OD
- Optometrist
- Plano, TX
National Provider Identifier
1891626495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11654TG
- Practice address
- 5280 Towne Square Dr
Plano, TX 75024-0037 - Phone
- (405) 733-2020
- Fax
- (972) 767-3721
- NPI assigned
- May 25, 2026
- 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 | 11654TG | TX | Primary |
Addresses
Primary practice location
5280 Towne Square Dr
Plano, TX 75024-0037
Mailing address
5280 Towne Square Dr
Plano, TX 75024-0037
Phone (405) 733-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11654TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1891626495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5280 TOWNE SQUARE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750240037",
"telephone_number": "405-733-2020",
"fax_number": "972-767-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5280 TOWNE SQUARE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750240037",
"telephone_number": "405-733-2020",
"fax_number": "972-767-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAM",
"first_name": "EVAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-25",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11654TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.