Individual provider Active NPI

Jason Marion Evans, O.D.

  • Optometrist
  • Prestonsburg, KY
National Provider Identifier
1992862148
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1637DT Issued in KY
Practice address
400 University Dr Ste 100a
Prestonsburg, KY 41653-1080
Phone
(606) 889-6522
Fax
(606) 889-6483
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1637DT KY Primary

Addresses

Primary practice location

400 University Dr Ste 100a
Prestonsburg, KY 41653-1080

Mailing address

400 University Dr Ste 100a
Prestonsburg, KY 41653-1080
Phone (606) 889-6522

Other identifiers 1

IdentifierTypeStateIssuer
77001410MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050817000046 KY Practitioner - Optometry 8729018114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, 51 clinicians
Frontier Medical Associates of Prestonsburg IncGroup PAC ID 8123436219, 17 clinicians

Practice addresses (Care Compare)

246 Ky Route 979
Harold, KY 41635-9046
Phone (606) 478-2200

400 University Dr
Suite 211a
Prestonsburg, KY 41653-1080
Phone (606) 886-6622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care Inc Current Accepting new patients
University of Pikeville Optometrist CurrentSince Nov 11, 2018 Accepting new patients
Big Sandy Health Care, Inc Current Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

246 Ky Route 979
Harold, KY 41635
Phone (606) 478-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

147 Sycamore St
#858
Pikeville, KY 41501

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1992862148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DR STE 100A",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531080",
            "telephone_number": "606-889-6522",
            "fax_number": "606-889-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DR STE 100A",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531080",
            "telephone_number": "606-889-6522",
            "fax_number": "606-889-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JASON",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1637DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.