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RANDOLPH R EVANS MD NPI 1295733772


NPI Information

NPI: 1295733772
Provider Name: RANDOLPH R EVANS, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1670 W MAIN ST
STE100
LEBANON, TN
ZIP 37087
Phone: (615) 453-5155
Get Directions

Randolph R Evans, MD is an ophthalmology in Lebanon, TN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Randolph R Evans, MD NPI is 1295733772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1670 W MAIN ST
STE100
LEBANON, TN
ZIP 37087-344
Phone: (615) 453-5155
Fax: (615) 444-5915

The NPI 1295733772 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 8/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology18805TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13032849OTHERTENNESSEEHEALTHSPRING
21238610001OTHERTENNESSEEDMERC
3180006421OTHERTENNESSEEPALMETTO GBA
4621298175OTHERTENNESSEEDEFAULT
54065401OTHERTENNESSEEAETNA PPO
6A15701MEDICARE UPINTENNESSEE
7000089791OTHERTENNESSEEBCBS ADVANTAGE
83032849MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
93389788MEDICAIDTENNESSEE
10000089791OTHERTENNESSEETENNCARE SELECT
11000089791OTHERTENNESSEEBLUE CROSS BLUE SHIELD
12186641053OTHERTENNESSEEVISION SERVICE PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.