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MRS. SUSAN EVANS OD NPI 1629106729


NPI Information

NPI: 1629106729
Provider Name: MRS. SUSAN EVANS, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
93 EVERGREEN WAY
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 826-4460
Get Directions

MRS. Susan Evans, OD is an optometrist in South Windsor, CT with 29 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MRS. Susan Evans, OD NPI is 1629106729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:1995

The provider's business location address is:

93 EVERGREEN WAY
SOUTH WINDSOR, CT
ZIP 06074-975
Phone: (860) 826-4460
Fax: (860) 826-4436

The NPI 1629106729 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 3/1/2007 and was last updated on 11/30/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist002478CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004188847MEDICAIDCONNECTICUT
21255448155OTHERCONNECTICUTGHMC GROUP MEDICAID ID
3CT2478OTHERCONNECTICUTEYE MED VISION CARE
4090002478CT04OTHERCONNECTICUTBCBS & BCFP PROVIDER ID
5102478OTHERCONNECTICUTCONNECTICARE
61255448155OTHERCONNECTICUTGHMC GROUP NPI
72V9149OTHERCONNECTICUTHEALTH NET
8932470OTHERCONNECTICUTBLOCK VISION

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: 4/28/2024

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.