JADYN EVANS (NPI# 1174836373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174836373 |
| Entity Type | Individual |
| Full Name | JADYN EVANS |
| Other Name | JADYN WILKES |
| Credential | O.D. |
| Practice Address |
24400 Jackson Ave Ste. A Murrieta CA 92562-1987 |
| Mailing Address |
24640 Jefferson Ave Ste 100 Murrieta CA 92562-9030 |
| Practice Telephone | 9516775144 |
| Mailing Telephone | 6198046374 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14016 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | GE3092 | 01 |
| Street Address |
24400 JACKSON AVE STE. A |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731383 | Ama Eisa | Optometrist | 35350 Evening Glow Dr, Murrieta, CA 92563-7983 | 2020-08-19 |
| 1003269721 | Matthew Krewer | Optometrist | 28039 Scott Rd Ste F, Murrieta, CA 92563-7430 | 2016-07-18 |
| 1992157887 | Monica Vu | Optometrist | 40700 California Oaks Rd Ste 106, Murrieta, CA 92562-5789 | 2016-07-05 |
| 1770945818 | Venittelli Kowalski Optometric Corp | Optometrist | 39252 Winchester Rd Ste 127, Murrieta, CA 92563-3511 | 2016-03-28 |
| 1558743104 | Alex Tadros | Optometrist | 24640 Jefferson Ave Ste 100, Murrieta, CA 92562-9030 | 2015-06-19 |
| 1144535949 | Dr. Maciej Z. Kowalski, O.d. Inc. | Optometrist | 26672 Margarita Rd, Suite 305, Murrieta, CA 92563-2011 | 2010-08-17 |
| 1053569244 | Steven J. Simpson Od & Thomas R. Scruggs Od | Optometrist | 40680 California Oaks Rd Ste 1a, Murrieta, CA 92562-5755 | 2008-09-03 |
| 1548468069 | Jeremiah M Tampoya | Optometrist | 28039 Scott Rd, Ste F, Murrieta, CA 92563-7430 | 2007-07-05 |
| 1538378690 | Koe H Johnson | Optometrist | 24710 Washington Ave, Suite 4, Murrieta, CA 92562-8204 | 2007-05-22 |
| 1104947761 | Tracy Lien Thi | Optometrist | 27818 Clinton Keith Rd, Murrieta, CA 92562-8554 | 2007-04-02 |
| Find all providers in MURRIETA | ||||
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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.