DR. PAUL K DOUGLAS (NPI# 1568474518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568474518 |
| Entity Type | Individual |
| Full Name | DR. PAUL K DOUGLAS |
| Credential | O.D. |
| Practice Address |
1205 N Michigan Ave Saginaw MI 48602-4729 |
| Practice Telephone | 9897527121 |
| Practice Fax Number | 9897526918 |
| Mailing Telephone | 9897527121 |
| Mailing Fax Number | 9897526918 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002197 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTHPLUS OF MICHIGAN | 0995445 | 01 |
| MI | 5084596 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225096415 | Paul Dean Douglas | Dentist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254 | 2006-05-04 |
| 1528605623 | Paul Douglas | Pharmacist | 3811 Clyde Morris Blvd, Port Orange, FL 32129-2306 | 2019-12-08 |
| 1861427163 | Paul L. Douglas | Radiology | 2320 Bath St, Suite 208, Santa Barbara, CA 93105-4339 | 2006-07-12 |
| Street Address |
1205 N MICHIGAN AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861947020 | Portola Dialysis LLC | Clinic/Center | 1205 N Michigan Ave, Saginaw, MI 48602-4729 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| 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 |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1982845384 | Envision Eye Care Pllc | Optometrist | 5310 Hampton Place, Suite 2, Saginaw, MI 48604-8202 | 2009-03-13 |
| 1376737635 | Goodwill Optical Inc | Optometrist | 405 S Michigan Ave, Saginaw, MI 48602-2026 | 2007-08-30 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1609905603 | John Michael Yancho | Optometrist | 4900 Fashion Square Mall, Saginaw, MI 48604-2706 | 2007-03-05 |
| 1629118351 | Jerry C. Appold | Optometrist | 4900 Fashion Square Blvd, Sears Optical, Saginaw, MI 48604-2610 | 2007-02-08 |
| 1952462384 | Kenneth G Larson | Optometrist | 4580 State St, Green Acres Plaza, Saginaw, MI 48603-3803 | 2006-12-12 |
| 1114935426 | Joseph K Douglas | Optometrist | 5025 Shattuck Rd, Saginaw, MI 48603 | 2006-08-03 |
| 1154336931 | Special Needs Vision Clinic | Optometrist | 3660 Southfield Dr, Saginaw, MI 48601-5653 | 2006-07-30 |
| 1033130778 | Optical Management Systems, Inc. | Optometrist | 3200 Cabaret Trl S, Saginaw, MI 48603-2202 | 2006-07-21 |
| Find all providers in SAGINAW | ||||
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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.