David Evans, OD

InactiveIndividual ProviderOptometry
NPI issued: June 17, 2005

Quick Facts

NPI Number
1063417863
TypeIndividual
StatusInactive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(901) 761-4620
StateTN

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1063417863)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 17, 2005)
Data source: CMS NPPES

Provider Overview

DAVID EVANS, OD is a Optometry provider based in Memphis, TN who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1063417863
Provider TypeIndividual Provider
GenderMale
CredentialOD
StatusInactive
Enumeration DateJune 17, 2005

Practice Location

CityMemphis
StateTN
ZIP Code38119-5770
Phone(901) 761-4620

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateTN

Mailing Address

CityMemphis
StateTN
ZIP Code38119-5770
Phone(901) 761-4620
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063417863 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1063417863for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063417863 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Optometryproviders →
📊
95,009
Optometry Providers in the US

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People Also Ask

What is David Evans's NPI number?
David Evans's NPI number is 1063417863, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is David Evans's NPI currently active?
No, David Evans's NPI status is Inactive as of the latest CMS NPPES database updates.
What does David Evans specialize in?
David Evans specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does David Evans practice?
David Evans practices in Memphis, TN 38119-5770.
When was David Evans's NPI issued?
David Evans's NPI was issued on June 17, 2005.
What is David Evans's provider type?
David Evans is registered as an Individual Provider under CMS NPI Type 1.