Gregory E Evans, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6648TLG Issued in CA

Practice address

71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901

Phone

(760) 674-8806

Fax

(760) 674-8826

NPI assigned

Jun 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Pacific University - College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaehoon Lee Optometry CorpGroup PAC ID 8628308525, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaehoon Lee Optometry Corp

  • Optometrist
  • Rancho Mirage, CA
  • NPI 1891347076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1922044205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71956 MAGNESIA FALLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704901",
            "telephone_number": "760-674-8806",
            "fax_number": "760-674-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71956 MAGNESIA FALLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704901",
            "telephone_number": "760-674-8806",
            "fax_number": "760-674-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6648TPL",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6648TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6648TPL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J Espinosa, P.A.
• Leo Estrada Jr., MD
• April Susan Ethridge, P.A.
• Bayani V. Evangelista, M.D.
• Evans Optometry Clinic Inc.
• Executive Residential Care & Recovery LLC
• Eye Surgery Center of the Desert
• Aubrey Glenn Eyer, M.D.
• Faculty Medical Group of Llusm
• Faculty Physicians and Surgeons of Llusm

• Optometrist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.