Individual provider Active NPI

Evan Norman Dunn, M.D

  • Ophthalmology Physician
  • Wesley Chapel, FL
National Provider Identifier
1972879484
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.140048 Issued in IL
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

Updated by the provider on Dec 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PAGroup PAC ID 5092629071, 39 clinicians
Seashore Retina LLCGroup PAC ID 8022233733, 3 clinicians

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

LicenseStateTypeSpecialty
036.140048ILMDOphthalmology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Seashore Retina LLC Ophthalmology CurrentSince Jun 25, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Feb 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.