Evans, David G
Evans, David G is an individual health care provider with primary practice located at 6060 Primacy Pkwy Ste 200, Memphis TN 38119-5770. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Evans, David G can be contacted via phone (901) 761-4620.Contact Information
Primary practice address
6060 Primacy Pkwy Ste 200
Memphis TN 38119-5770
Phone: (901) 761-4620
Fax: (907) 761-3072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT1596 | Tennessee |
Profile Details
| NPI number | 1063417863 |
|---|---|
| LBN Legal business name | Evans, David G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Feb 20th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063417863 | NPPES |
| Tennessee | MEDICAID | 3599522 |
Popular Providers
-
Newman, James M
1225 Madison Ave , Memphis TN 38104-2211 -
Gerstner, Michael D
1245 Madison Ave , Memphis TN 38104-2211 -
Waymire, Amy F.
650 New York St , Memphis TN 38104-5536 -
Barr, Janice A
5366 Estate Office Dr Suite 1, Memphis TN 38119-0611 -
Weinberg, Kenneth A
826 Mount Moriah Rd , Memphis TN 38117-5705 -
Norton, Leroy
4557 Millbranch Rd Leroy Norton Jr Od, Memphis TN 38116 -
Lievens, Christopher W
1225 Madison Ave , Memphis TN 38104-2211 -
Johnson, Warren S
428 Perkins Ext , Memphis TN 38117