Evans, Christopher Charles

Evans, Christopher Charles is an individual health care provider with primary practice located at 120 District Blvd Ste D109 , Jackson MS 39211-6304. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Evans, Christopher Charles can be contacted via phone (601) 398-4662.

Contact Information

Primary practice address
120 District Blvd Ste D109 Jackson MS 39211-6304
Phone: (601) 398-4662
Fax: (601) 398-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 552 Mississippi

Profile Details

NPI number 1205921467
LBN Legal business name Evans, Christopher Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205921467 NPPES
Mississippi MEDICAID 04356376

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