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Contact Information

SHANE M EVANS, OD
1905 E P TRUE PARKWAY
STE 103
WEST DES MOINES, IA50265
 Phone: 515-225-0877
 Fax: 515-225-9518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHANE M EVANS · (Male)

NPI Number 1730138942
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/08/2006
Last updated 02/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 01940
  • IA Medicaid 0065482
  • IA Medicaid 2065482
  • IA Medicaid 3065482
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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