Provider Demographics
NPI:1780685826
Name:EVANS, DONALD E (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:885 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3800
Mailing Address - Country:US
Mailing Address - Phone:757-461-1444
Mailing Address - Fax:757-461-8238
Practice Address - Street 1:885 KEMPSVILLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3800
Practice Address - Country:US
Practice Address - Phone:757-461-1444
Practice Address - Fax:757-461-8238
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101234084207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6310893OtherVA PREMIER PROV #
VA541299712OtherSUPERIOR VISION PROV #
VA541299712OtherPHCS PROV #
VA65486OtherOPTIMA PROV #
VA288960OtherANTHEM PROV #
VA0801227OtherUNITED HEALTH CARE PROV #
VA2060148OtherFIRST HEALTH PROV #
VA2103758OtherMD IPA PROV #
NC89066A3OtherNC MEDICAID PROV #
VAP00005561OtherRAILROAD MEDICARE PROV #
VA288960OtherHEALTHKEEPERS PROV #
VA4028138OtherAETNA PROVIDER #
VA6310893Medicaid
VA541299712OtherVA HEALTH NETWORK PROV #
VA6310893Medicaid
VA541299712OtherPHCS PROV #