JASON EVANS OD LLC NPI 1023294303

Optometrist in Paintsville, KY

NPI 1023294303 Organization Optometrist

About JASON EVANS OD LLC

Jason Evans Od Llc is a provider established in Paintsville, Kentucky specializing in optometrist. The NPI number of Jason Evans Od Llc is 1023294303 and was assigned on January 2008. The practitioner's primary taxonomy code is 152W00000X with license number 1637DT (KY). The provider is registered as an organization and their NPI record was last updated 13 years ago. Jason Evans Od Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jason Marion Evans Od (Optometrist)

NPI

1023294303

Provider NameJASON EVANS OD LLC
Provider Location Address470 N MAYO TRL PAINTSVILLE, KY 41240
Provider Mailing AddressPO BOX 1301 INEZ, KY 41224
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-16-2008
Last Update Date01-16-2008


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1637DT
License StateKY
Taxonomy DescriptionDoctors 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.

Business Address

JASON EVANS OD LLC
470 N MAYO TRL
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-0343

Get Directions


Mailing Address

JASON EVANS OD LLC
PO BOX 1301
INEZ, KY
ZIP 41224
Phone: (606) 789-0343



Authorized Official

Authorized Official NameDR. JASON MARION EVANS OD
Authorized Official TitleOPTOMETRIST
Authorized Official Phone(606) 789-0343

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
77001410MEDICAID (05)KY

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992862148DR. JASON MARION EVANS O.D.
Individual
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-0343
1629095047WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1649355215WAL-MART STORES EAST, LP
Organization
Technician/Technologist (Optician)470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8920
1437759610 MEGAN NICOLE WALDEN RPH
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1841746401 EMILY HOLBROOK GREEN
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1922608546 DONNA BOLEYN PHARMD
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1972119154DR. REBECCA HAUT OD
Individual
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 788-7275
1427659929REBECCA HAUT, OD, LLC
Organization
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 788-7275

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.