PAUL R DEWITT (NPI# 1366474207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366474207 |
| Entity Type | Individual |
| Full Name | PAUL R DEWITT |
| Credential | OD |
| Practice Address |
Us Hwy 160 & Navajo Route 35 - Red Mesa Teecnospos AZ 86514 |
| Mailing Address |
Hc 61 Box 30 Teec Nos Pos AZ 86514-9600 |
| Practice Telephone | 9286565000 |
| Mailing Telephone | 9286565000 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2320 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 65837533 | 05 | |
| AZ | 796063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396070728 | Paul L Dewitt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7894 Lantana Creek Rd, Largo, FL 33777-3043 | 2009-10-02 |
| 1952340192 | Paul Theodore Dewitt Jr. | Family Medicine | 1005 W Green St, Suite 100, Hastings, MI 49058-1712 | 2006-06-05 |
| Street Address |
US HWY 160 & NAVAJO ROUTE 35 - RED MESA |
| City | TEECNOSPOS |
| State | AZ |
| Zip Code | 86514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186212 | John Vincent Linhart | Dentist | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2005-09-30 |
| 1801393707 | Nuanphan S Poole | Nurse Practitioner | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2018-04-09 |
| 1154735314 | Jennylyn Rachel Hawkins | Social Worker | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2014-06-16 |
| 1265702468 | Lucinda Nakai | Social Worker | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2012-01-04 |
| 1770888034 | Allison Justine Clough | Family Medicine | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2011-01-18 |
| 1154643567 | Norman J. Yellowhair | Technician/Technologist | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2010-02-26 |
| 1881834695 | Joy L Cooper | Registered Nurse | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2009-03-06 |
| 1518159268 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2007-08-16 |
| 1114130101 | Mary Melissa Rigg | Social Worker | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2007-05-07 |
| 1215083951 | Dhhs Phs Naihs Shiprock Hospital | Durable Medical Equipment & Medical Supplies | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275025702 | April Rose De Guzman Hernandez | Registered Nurse | Jct Us Hwy 160 and Navajo Route 35, Red Mesa, AZ 86514 | 2018-05-31 |
| 1891184552 | James Robert Lillard II | Registered Nurse | Jct. U.S. Hwy. 160 & Navajo Route 35, Red Mesa, AZ 86514 | 2015-01-20 |
| 1588060842 | Susan Wolffe | Registered Nurse | Jct Us Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2014-11-14 |
| 1609276641 | Donald Reede | Registered Nurse | Jct U.S. Hwy 150 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2014-08-27 |
| 1306281134 | Anderson Transport LLC | Non-emergency Medical Transport (VAN) | Nha Mh#39, Teec Nos Pos, AZ 86514 | 2013-05-07 |
| 1811241896 | Surrina Whitehorse | Non-emergency Medical Transport (VAN) | Hwy 160 Mm 284: 8 Miles, Teecnospos, AZ 86514 | 2012-10-30 |
| 1992081608 | Ronald Edward Dancy Jr. | Registered Nurse | Jct. U.S. Hwy 160 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-10-26 |
| 1407137557 | Eun Mi Ahn | Pharmacist | Jct U.S. Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-09-02 |
| 1033406426 | Christine Yvonne Potter | Registered Nurse | Jct. Hwy 160 & Navajo Route 25 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-07-06 |
| 1629364039 | Rebecca Gail Shroyer | Registered Nurse | Junction Highway 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-06-23 |
| Find all providers in zip 86514 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1093326688 | West Point Optical | Optometrist | 15681 N Hayden Rd Ste 115, Scottsdale, AZ 85260-1959 | 2020-08-17 |
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1144848912 | Miranda Hueners | Optometrist | 2040 E Rio Salado Pkwy Ste 120, Tempe, AZ 85281-5185 | 2020-07-08 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
| City | TEECNOSPOS |
| Zip Code | 86514 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.