CENTRAEL TYSON EVANS


Address: 140 Trinity Pl Bldg B, Athens, GA 30607-2100
Phone: 7065460170

CENTRAEL TYSON EVANS (NPI# 1902249139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902249139
Entity Type Individual
Full Name CENTRAEL TYSON EVANS
Credential MD
Practice Address 140 Trinity Pl Bldg B
Athens
GA 30607-2100
Practice Telephone 7065460170
Practice Fax Number 7065465015
Mailing Telephone 7065460170
Mailing Fax Number 7065465015
Enumeration Date 2013-04-08
Last Update Date 2019-12-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 76821 GA Allopathic & Osteopathic Physicians
N 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
76821 GA Allopathic & Osteopathic Physicians
N 207WX0009X Ophthalmology
Specialization: Glaucoma Specialist
76821 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
140 Trinity Pl Bldg B, Athens, GA 306072100 7065460170 7065465015
625 S Enota Dr Ne, Gainesville, GA 305012437 7705320292

Office Location

Street Address 140 TRINITY PL BLDG B
City ATHENS
State GA
Zip Code 30607-2100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972850055 Junaid Nasir Internal Medicine 5105 Jefferson Rd Ste B, Athens, GA 30607 2012-08-08
1942588918 Gustavo Figueiredo Marcondes Westin Internal Medicine 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2011-07-25
1124164421 Martin John Simmons Dentist 3380 Old Jefferson Road, Athens, GA 30607 2007-01-30
1518063338 The Center for Plastic & Reconstructive Surgery, P.C. Clinic/Center 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 2006-09-16
1730173352 Mohan N Iyer Ophthalmology 2705 Jefferson Rd., Athens, GA 30607 2005-09-09
1669473245 Angela G Stiles Internal Medicine 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 2005-08-09
1326691171 Teresa Rosser Nurse Practitioner 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2019-07-22
1124501184 Anna Cauthen Mcfather Physician Assistant 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2018-09-14
1013498849 Mary Rougeau Browning Physician Assistant 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2018-08-29
1073092334 Katelyn Taylor Gillespie Nurse Practitioner 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2018-08-08
Find all providers in zip 30607

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748219 Athens Eye Consultants LLC Ophthalmology 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 2020-10-21
1912263575 Danielle C Ortman Ophthalmology 75 Hospital Dr Ste 110, Athens, OH 45701-2858 2012-04-09
1982647731 Gregg Philip Moody Ophthalmology 15242 Greenfield Dr, Athens, AL 35613-2897 2006-06-13
1073550356 Martine P Adogu Ophthalmology 1440 N Chase St, Athens, GA 30601-1850 2006-06-02
1467406983 Keller, Crymes, & Demarco LLC Ophthalmology 105 Trinity Pl., Athens, GA 30607-2112 2006-05-20
1003869348 Cleveland Eye Clinic Inc PC Ophthalmology 1609 Decatur Pike, Athens, TN 37303-2472 2006-05-18
1629051214 Victor A. Crosby Ophthalmology 140 Trinity Pl, Bldg B, Athens, GA 30607-2100 2005-11-28
1356341119 Jing Dong Ophthalmology 651 S Milledge Ave, Athens, GA 30605-1250 2005-07-22
1497758460 Thad David Hardin Ophthalmology 1260 S Palestine St, Athens, TX 75751-3619 2005-05-24
1326503699 Tennessee Eye Care Specialists, Pllc Ophthalmology 902 W Madison Ave, Athens, TN 37303-3432 2019-01-31
Find all providers in ATHENS

Competitor

Search similar providers

City ATHENS
Zip Code 30607

Improve Information

Please comment or provide details below to improve the information on CENTRAEL TYSON EVANS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches