Evans, Gregory E
Evans, Gregory E is an individual health care provider with primary practice located at 71956 Magnesia Falls Dr , Rancho Mirage CA 92270-4901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Evans, Gregory E can be contacted via phone (760) 674-8806.Contact Information
Primary practice address
71956 Magnesia Falls Dr
Rancho Mirage CA 92270-4901
Phone: (760) 674-8806
Fax: (760) 674-8826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6648TPL | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6648TLG | California |
Profile Details
| NPI number | 1922044205 |
|---|---|
| LBN Legal business name | Evans, Gregory E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Apr 9th, 2018 - about 6 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 | 1922044205 | NPPES |
| California | Other | 6648TPL | STATE LICENSE |
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