Jordan Evans (NPI# 1225680853, PAC ID# 4880921675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1225680853 |
| PAC ID by PECOS | 4880921675 |
| Professional Enrollment ID | I20190816002078 |
| Full Name | Jordan Evans |
| Organization Legal Name | PBW OPTOMETRY P C |
| Address |
1923 Mcculloch Blvd N Suite 102 Lake Havasu City AZ 86403-6120 |
| Phone Number | 9288543555 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9133224421 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1923 Mcculloch Blvd N, Suite 102, Lake Havasu City, AZ 86403-6120 | 9288543555 | PBW OPTOMETRY P C |
| Organization Legal Name | PBW OPTOMETRY P C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhett M Burgener | Optometry | Pbw Optometry P C | 2215 Hualapai Mountain Rd, Suite D, Kingman, AZ 86401-8324 |
| Kevin J Wogalter | Optometry | Pbw Optometry P C | 2215 Hualapai Mountain Rd, Kingman, AZ 86401-8324 |
| Street Address |
1923 MCCULLOCH BLVD N SUITE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-6120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harrison M Mcdonald | Internal Medicine | Harrison Mark Mcdonald Do Pllc | 1923 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-6120 |
| Haylee Gale Younis | Nurse Practitioner | Harrison Mark Mcdonald Do Pllc | 1923 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-6120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | OPTOMETRY |
| City + Specialty | LAKE HAVASU CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Jordan Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.