Healthcare Provider Details

I. General information

NPI: 1043139439
Provider Name (Legal Business Name): EVANS DARKO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 PROSPECT AVE
WEST ORANGE NJ
07052-4197
US

IV. Provider business mailing address

51 WINDING WOOD DR APT 1A
SAYREVILLE NJ
08872-2012
US

V. Phone/Fax

Practice location:
  • Phone: 973-325-6734
  • Fax:
Mailing address:
  • Phone: 732-242-2274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3338
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: