Individual
DR. WILLIAM HERSHEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
165 W HASELTINE ST, RICHLAND CENTER, WI 53581-2552
(608) 647-8995
(608) 647-2569
Mailing address
165 W HASELTINE ST, RICHLAND CENTER, WI 53581-2552
(608) 647-8995
(608) 647-2569
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1664
WI
152W00000X
Optometrist
OPT 6649 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029369
PHYSICIANS PLUS
WI
05
—
38630900
—
WI
01
—
60700
DEAN HEALTH INSURANCE
WI
01
—
SD0066490
BLUE SHIELD PROVIDER ID#
CA
05
—
SD0066490
—
CA
Enumeration date
06/23/2005
Last updated
04/29/2014
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