Randolph R Evans, MD | |
1670 W Main St, Ste100, Lebanon, TN 37087-1344 | |
(615) 453-5155 | |
(615) 444-5915 |
Full Name | Randolph R Evans |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1670 W Main St, Lebanon, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295733772 | NPI | - | NPPES |
4065401 | Other | TN | AETNA PPO |
1238610001 | Other | TN | DMERC |
180006421 | Other | TN | PALMETTO GBA |
000089791 | Other | TN | BCBS ADVANTAGE |
3032849 | Other | TN | HEALTHSPRING |
000089791 | Other | TN | BLUE CROSS BLUE SHIELD |
3389788 | Medicaid | TN | |
621298175 | Other | TN | DEFAULT |
000089791 | Other | TN | TENNCARE SELECT |
186641053 | Other | TN | VISION SERVICE PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 18805 (Tennessee) | Primary |
Entity Name | Vanderbilt University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Randolph R Evans, MD 1670 W Main St, Ste100, Lebanon, TN 37087-1344 Ph: (615) 453-5155 | Randolph R Evans, MD 1670 W Main St, Ste100, Lebanon, TN 37087-1344 Ph: (615) 453-5155 |
Dr. William D. Schenk, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 | |
F Kirk Bowles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 |