Individual
DR. JOHN O EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3200 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1358
(585) 394-0261
Mailing address
3200 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1358
(585) 394-0261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003346-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00449867
—
NY
Enumeration date
06/26/2006
Last updated
01/14/2008
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