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Deactivated NPI 1063417863 Deactivated / Inactive NPI Male Practitioner

Dr. David G Evans , OD

Optometrist • Memphis, TN

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~12 Years of Practice (1994 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. David Evans, OD was a registered Optometrist in Memphis, TN. Prior to record deactivation on 2006-03-17, Dr. Evans completed approximately 12 years of clinical practice following graduation from Southern College Of Optometry in 1994.

Dr. Evans was affiliated with Total Eye Care P A and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient complete exam of visual system, exam of visual field with extended testing, imaging of optic nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6060 Primacy Pkwy
Ste 200

Memphis, TN 381195770

Telephone 9017614620
Fax 9077613072
Associated Practice Facility / Clinic
🏢 Total Eye Care Pa Facility NPI 1457362881

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Memphis, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +12.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
238 Specialists

Practicing in Memphis, TN (1373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Evans (32 Years) 32 Yrs
Memphis Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
34 33 $165.00 $115.56
92083 Exam of visual field with extended testing
14 13 $150.00 $57.47
92133 Imaging of optic nerve
12 12 $250.00 $31.01

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN ODT1596

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3599522 (TN)

Hospital & Practice Group Affiliations

Total Eye Care P A

6060 Primacy Pkwy, Memphis, TN 381195770

Total Eye Care P A

6060 E Primacy Pkwy, Memphis, TN 381195770

Phone: 9017614620

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1518932805

Doctor of Optometry

NPI 1629482823

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 20, 2008

Registered at 6060 PRIMACY PKWY, STE 200, MEMPHIS, TN 381195770 (Tel: 9017614620)

📍
Updated Business Mailing Address February 20, 2008

Registered at 6060 PRIMACY PKWY, STE 200, MEMPHIS, TN 381195770 (Tel: 9017614620)

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as DAVID EVANS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Optometrist (License #ODT1596 in TN)

🔄
NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️
NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢
Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063417863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: February 20, 2008
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

6060 Primacy Pkwy, Ste 200

Memphis, TN 381195770

Phone: 9017614620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.