Individual provider Active NPI

Erin Kathleen Evans, O.D.

  • Optometrist
  • Wilkes Barre, PA
National Provider Identifier
1942651443
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003156 Issued in PA
Practice address
1111 E End Blvd
Wilkes Barre, PA 18711-0030
Phone
(570) 824-3521
NPI assigned
Jun 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 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 OEG003156 PA Primary

Addresses

Primary practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Mailing address

55 W Walnut St
Kingston, PA 18704-3819
Phone (570) 287-8557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170621002801 PA Practitioner - Optometry 6709154495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of the Valley P.C.Group PAC ID 7810968518, 7 clinicians

Practice addresses (Care Compare)

1045 Chestnut St
Emmaus, PA 18049-1902
Phone (610) 965-9900

127 S 5TH St
Suite 200
Quakertown, PA 18951-1682
Phone (215) 538-3888

240 Pottstown Ave
Pennsburg, PA 18073-1803
Phone (215) 679-3500

240 Pottstown Ave
Pennsburg, PA 18073-1807

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare of the Valley P.C. Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Alpha Optical Doylestown, LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Gretchen J Brewer, OD & Associates, Inc Optometrist CurrentSince Apr 3, 2018 Accepting new patients

Locations

73 Old Dublin Pike
Ste 13C
Doylestown, PA 18901
Phone (215) 230-4060

1045 Chestnut St
Emmaus, PA 18049
Phone (610) 965-9900

240 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

2329 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-7228

2329 Cottman Ave
#J
Philadelphia, PA 19149
Phone (215) 332-7228

127 S 5th St
Ste 200
Quakertown, PA 18951
Phone (215) 538-3888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1942651443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W WALNUT ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043819",
            "telephone_number": "570-287-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E END BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110030",
            "telephone_number": "570-824-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.