Active NPI
Matthew E Evans, O.D.
- Optometrist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002813
- Practice address
- 3829 Union St
Lafayette, IN 47905-4454 - Phone
- (765) 447-4951
- Fax
- (765) 447-4834
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- 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 | 18002813 | IN | Primary |
Addresses
Primary practice location
3829 Union St
Lafayette, IN 47905-4454
Mailing address
3829 Union St
Lafayette, IN 47905-4454
Phone (765) 447-4951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Southern College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Creasy LN
Suite a
Lafayette, IN 47905-7430
Phone (765) 447-4951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Eye Care Inc | Optometrist | Current | Accepting new patients |
| Duane a Gillam | Optometrist | Past | Accepting new patients |
| Carla R. Teso, OD, PC, Inc | Optometrist | Past | Accepting new patients |
Locations
211 S Perry St
Attica, IN 47918
Phone (765) 762-2652
1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951
3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951
3829 Union St
Lafayette, IN 47905
Phone (765) 447-4951
Interoperability endpoints
- matthew.evans@direct.revolutionehr.com
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
- Lafayette, IN
- NPI 1992784599
-
- Optometrist
- Lafayette, IN
- NPI 1588751721
-
- Optometrist
- Lafayette, IN
- NPI 1902045446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1922085513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 UNION ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054454",
"telephone_number": "765-447-4951",
"fax_number": "765-447-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 UNION ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054454",
"telephone_number": "765-447-4951",
"fax_number": "765-447-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MATTHEW",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.