MEDICARE: EVAN ELAM OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11654TG	TX

General Provider Information

NPI Number	:	1891626495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN ELAM OD

Provider Business Mailing Address
First Line	:	5280 TOWNE SQUARE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0037
Country	:	US
Telephone Number	:	405-733-2020
Fax Number	:	972-767-3721

Provider Business Practice Location Address
First Line	:	5280 TOWNE SQUARE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0037
Country	:	US
Telephone Number	:	405-733-2020
Fax Number	:	972-767-3721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

Similar Medicare Providers

1518224401 — ALI REZA ABTAHI D.O.
Practice Location Address:

5288 TOWNE SQUARE DR STE 150
PLANO, TX
75024-0037

Practice Phone: 469-293-8707
Practice Fax: 469-294-8707

1073173886 — PATRICIA HENRIETTA FORTIN MD
Practice Location Address:

5280 TOWNE SQUARE DR
PLANO, TX
75024-0037

Practice Phone: 214-380-2020
Practice Fax: 214-407-8844

1598536344 — PLANO VISION PLLC
Practice Location Address:

5280 TOWNE SQUARE DR
PLANO, TX
75024-0037

Practice Phone: 214-380-2020
Practice Fax:

1568227973 — PLANO EYE CARE SURGERY CENTER PLLC
Practice Location Address:

5280 TOWNE SQUARE DR
PLANO, TX
75024-0037

Practice Phone: 214-380-2020
Practice Fax:

1760378905 — ENDOMETRIOSIS CENTER OF EXCELLENCE
Practice Location Address:

5288 TOWNE SQUARE DR
PLANO, TX
75024-0037

Practice Phone: 214-281-4460
Practice Fax: 214-281-4460

1245185230 — MY BETHEL PSYCHIATRY PLLC
Practice Location Address:

6010 W SPRING CREEK PKWY # 709
PLANO, TX
75024-3569

Practice Phone: 945-253-5657
Practice Fax:

Directions to “ EVAN ELAM OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.