Provider Demographics
NPI:1548383573
Name:BARBARA E. EVANS, M.D., P.C.
Entity Type:Organization
Organization Name:BARBARA E. EVANS, M.D., P.C.
Other - Org Name:DOWNTOWN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-240-6207
Mailing Address - Street 1:2412 SW WOODBURY LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-5403
Mailing Address - Country:US
Mailing Address - Phone:515-240-6207
Mailing Address - Fax:515-225-2425
Practice Address - Street 1:2101 WESTOWN PKWY STE 2
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1598
Practice Address - Country:US
Practice Address - Phone:515-225-2566
Practice Address - Fax:515-225-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA26654207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1079160Medicaid
IA1079160Medicaid
IAE92185Medicare UPIN