MR. C. DOUGLAS EVANS (NPI# 1982655643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982655643 |
| Entity Type | Individual |
| Full Name | MR. C. DOUGLAS EVANS |
| Credential | MD |
| Practice Address |
669 Main St Wakefield MA 01880-5200 |
| Practice Telephone | 7812455200 |
| Practice Fax Number | 7812463932 |
| Mailing Telephone | 7812455200 |
| Mailing Fax Number | 7812463932 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 77262 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3112870 | 05 |
| Street Address |
669 MAIN ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942737226 | North Suburban Eye Associates LLC | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2017-05-17 |
| 1083073076 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2016-02-18 |
| 1073949061 | Andrea Farber | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2013-09-23 |
| 1669818746 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2013-05-16 |
| 1982965943 | Fei Siu | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2012-06-06 |
| 1407186992 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2010-01-05 |
| 1336300235 | Rita A Cherian | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2008-06-23 |
| 1437275369 | Ronald C Pruett | Specialist | 669 Main St, Wakefield, MA 01880-5200 | 2007-03-22 |
| 1942351994 | North Suburban Eye Associates PC | Optometrist | 669 Main St, Wakefield, MA 01880-5200 | 2007-01-16 |
| 1649321399 | Renell Sinha | Optometrist | 669 Main St, Wakefield, MA 01880-5200 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622188 | Nsea Whaipa LLC | Ophthalmology | 669 Main Street, Wakefield, MA 01880-5221 | 2019-08-01 |
| 1619060480 | Barry M Wepman | Ophthalmology | 20 Hampton Way, Bldg #1a, Wakefield, RI 02879-2553 | 2006-10-02 |
| 1942737226 | North Suburban Eye Associates LLC | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2017-05-17 |
| 1083073076 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2016-02-18 |
| 1669818746 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2013-05-16 |
| 1407186992 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2010-01-05 |
| 1639346521 | Sarah Levy | Ophthalmology | 70 Kenyon Ave, Suite 211, Wakefield, RI 02879-4239 | 2008-05-10 |
| 1194868562 | Seacoast Eye Associates Inc | Ophthalmology | 70 Kenyon Ave, Suite 211, Wakefield, RI 02879-4239 | 2007-02-15 |
| 1275681132 | Edward Francis Mccarthy Jr. | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2007-01-08 |
| 1588616775 | Kimberly Mooney-mcnulty | Ophthalmology | 669 Main St, Wakefield, MA 01880-5200 | 2006-05-16 |
| Find all providers in WAKEFIELD | ||||
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| 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.