Evans, Laura R.

Evans, Laura R. is an individual health care provider with primary practice located at 3230 Blattner Dr. , Cape Girardeau MO 63703-6380. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Evans, Laura R. can be contacted via phone (573) 334-2020.

Contact Information

Primary practice address
3230 Blattner Dr. Cape Girardeau MO 63703-6380
Phone: (573) 334-2020
Fax: (573) 334-2915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03451 Missouri

Profile Details

NPI number 1831263375
LBN Legal business name Evans, Laura R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831263375 NPPES
Missouri MEDICAID 314852815

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