|
| |
|
3700 S University Ave, Suite 19, Little Rock, AR 72204-6018 | |
| (501) 562-2297 | |
| (501) 562-6354 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3700 S University Ave, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295716439 | NPI | - | NPPES |
| 105175722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2216 (Arkansas) | Primary |
| Provider Name | David L Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518187459 PECOS PAC ID: 9133149123 Enrollment ID: I20051206000450 |
| Mailing Address | Practice Location Address |
|---|---|
3700 S University Ave, Suite 19, Little Rock, AR 72204-6018 Ph: (501) 562-2297 | 3700 S University Ave, Suite 19, Little Rock, AR 72204-6018 Ph: (501) 562-2297 |
Anna Jane Schlesselman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-6562 | |
Erin Paladino, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-441-3453 | |
Lauren Criswell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Executive Ct Ste A, Little Rock, AR 72205 Phone: 501-224-5658 | |
Dr. Katie Lea Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 N University Ave Ste 5and6, Little Rock, AR 72205 Phone: 501-663-1131 | |
Dr. Diana Lynne Mckenzie, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 S Bowman Rd, Little Rock, AR 72211 Phone: 501-228-3937 Fax: 501-225-4576 |