| Randolph R Evans, MD | |
|
1670 W Main St, Ste100, Lebanon, TN 37087-1344 | |
| (615) 453-5155 | |
| (615) 444-5915 |
| Full Name | Randolph R Evans |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1670 W Main St, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295733772 | NPI | - | NPPES |
| 4065401 | Other | TN | AETNA PPO |
| 1238610001 | Other | TN | DMERC |
| 180006421 | Other | TN | PALMETTO GBA |
| 000089791 | Other | TN | BCBS ADVANTAGE |
| 3032849 | Other | TN | HEALTHSPRING |
| 000089791 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3389788 | Medicaid | TN | |
| 621298175 | Other | TN | DEFAULT |
| 000089791 | Other | TN | TENNCARE SELECT |
| 186641053 | Other | TN | VISION SERVICE PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 18805 (Tennessee) | Primary |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph R Evans, MD 1670 W Main St, Ste100, Lebanon, TN 37087-1344 Ph: (615) 453-5155 | Randolph R Evans, MD 1670 W Main St, Ste100, Lebanon, TN 37087-1344 Ph: (615) 453-5155 |
Dr. William D. Schenk, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 | |
F Kirk Bowles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 |