Organization
EVANS EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A EVANS OD (OWNER)
(570) 735-6000
Entity
Organization
Contact information
Practice address
245 S PROSPECT ST, NANTICOKE, PA 18634-2443
(570) 735-6000
(570) 735-5300
Mailing address
245 S PROSPECT ST, NANTICOKE, PA 18634-2443
(570) 735-6000
(570) 735-5300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6883
RAILROAD MEDICARE
PA
Enumeration date
11/20/2007
Last updated
04/15/2008
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