Active NPI
Evan Norman Dunn, M.D
- Ophthalmology Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036.140048
- Practice address
- 2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604 - Phone
- (813) 973-3333
- Fax
- (813) 973-3888
- NPI assigned
- Mar 29, 2012
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036.140048 | IL | Primary |
Addresses
Primary practice location
2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Mailing address
2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Phone (813) 973-3333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edunn@floridaeye.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180809000451 | FL | Practitioner - Ophthalmology | 1951547223 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Eye Physicians of Pinellas, PASeashore Retina LLC
Practice addresses (Care Compare)
1247 Lakeland Hills Blvd
Lakeland, FL 33805-4673
Phone (863) 688-5604
2400 Cypress Glen Dr
Wesley Chapel, FL 33544-4604
Phone (813) 973-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.140048 | IL | MD | Ophthalmology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seashore Retina LLC | Ophthalmology | Current | Accepting new patients |
| The Eye Physicians of Pinellas, PA | Ophthalmology | Current | Accepting new patients |
| The Eye Physicians of Pinellas, PA | Current | Accepting new patients | |
| The Eye Physicians of Pinellas, PA | Past | Accepting new patients |
Locations
4708 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-6455
1243 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 262-3111
1247 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-5604
148 13th St SW
Largo, FL 33770
Phone (727) 450-3030
2801 W Busch Blvd
Ste 102
Tampa, FL 33618
26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073
2400 Cypress Glen Dr
Wesley Chapel, FL 33544
Phone (813) 940-3130
Networks
- Freedom Health HMO Network
Interoperability endpoints
- edunn@floridaeye.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Largo, FL
- NPI 1114925153
FL, Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Largo, FL
- NPI 1366710741
-
- Durable Medical Equipment & Medical Supplies
- Lakeland, FL
- NPI 1790488013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1972879484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CYPRESS GLEN DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444604",
"telephone_number": "813-973-3333",
"fax_number": "813-973-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CYPRESS GLEN DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444604",
"telephone_number": "813-973-3333",
"fax_number": "813-973-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "EVAN",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036.140048",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edunn@floridaeye.intellechartdirect.net",
"affiliation": "N",
"address_1": "403 Vonderburg Dr",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335115982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.