Provider Demographics
NPI:1689050437
Name:EVELAND, LYNSEY RITA (OD)
Entity Type:Individual
Prefix:DR
First Name:LYNSEY
Middle Name:RITA
Last Name:EVELAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LYNSEY
Other - Middle Name:RITA
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3820
Mailing Address - Country:US
Mailing Address - Phone:318-256-0330
Mailing Address - Fax:
Practice Address - Street 1:910 FISHER RD
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3820
Practice Address - Country:US
Practice Address - Phone:318-256-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60572980152W00000X
LA1923-862AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist