Organization
EVANS OPTOMETRY CLINIC INC.
Active
Other names
EVANS EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN EVANS (ADMINISTRATOR)
(760) 674-8806
Entity
Organization
Contact information
Practice address
71956 MAGNESIA FALLS DR, RANCHO MIRAGE, CA 92270-4901
(760) 674-8806
(760) 674-8826
Mailing address
71956 MAGNESIA FALLS DR, RANCHO MIRAGE, CA 92270-4901
(760) 674-8806
(760) 674-8826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6648T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410048237
MEDICARE RAILROAD
CA
Enumeration date
11/14/2006
Last updated
04/12/2018
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