EVELYNNE CHAVEZ (OD) – Optometrist, NPI 1124588165

EVELYNNE CHAVEZ (OD) is a healthcare provider. based in Walnut, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 34371TLG (CA). The NPI Number for EVELYNNE CHAVEZ (OD) is 1124588165

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EVELYNNE CHAVEZ (OD)
NPI
1124588165
Phone
Not provided
Address
PO BOX 2272
Enumeration Date
25 March 2019
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626921208
Graduation Year
2019 (7 years ago)
PAC ID
3476966730
Group Practice PAC ID
2961667399
Professional Enrollment ID
I20210105001203
Address ID
CA906063111WH11245BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for EVELYNNE CHAVEZ (OD)

  • PO BOX 2272

    WALNUT, CA 917882272

    Phone:

    Type: Mailing

  • 11301 WILSHIRE BLVD BLDG 304

    LOS ANGELES, CA 900731003

    Phone: (310) 478-3711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Alcon Vision LLC ($125).

Total Amount

$344

General + Research + Ownership

Payments

4

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210105001203IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91788)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961667399View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

How is EVELYNNE CHAVEZ (OD) identified in CMS data?
CMS-hosted NPPES data lists EVELYNNE CHAVEZ (OD) with NPI 1124588165.
Is EVELYNNE CHAVEZ (OD) listed as active for patients and plans?
The listing shows EVELYNNE CHAVEZ (OD) as active in the NPI system.
What is EVELYNNE CHAVEZ (OD)'s primary classification?
Optometrist is the headline specialty for EVELYNNE CHAVEZ (OD) here. Clinical services aligned with this taxonomy classification.
Where is EVELYNNE CHAVEZ (OD) based?
EVELYNNE CHAVEZ (OD) is tied to Walnut, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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