Individual
CHRISTOPHER CHARLES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 DISTRICT BLVD STE D109, JACKSON, MS 39211-6304
(601) 398-4662
(601) 398-4669
Mailing address
120 DISTRICT BLVD STE D109, JACKSON, MS 39211-6304
(601) 398-4662
(601) 398-4669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04356376
—
MS
Enumeration date
10/04/2006
Last updated
12/18/2018
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