JASON P NOLZ (NPI# 1588678429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588678429 |
| Entity Type | Individual |
| Full Name | JASON P NOLZ |
| Credential | O.D. |
| Practice Address |
208 W Dl Ingram Ave Cannon Afb NM 88103-5014 |
| Mailing Address |
208 W Dl Ingram Ave Cannon Afb Clovis NM 88103-5014 |
| Practice Telephone | 5757846608 |
| Mailing Telephone | 5757846608 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2180 | CO | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 627 | MT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| Street Address |
208 W DL INGRAM AVE |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88103-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469498 | Joseph A Williams | Physical Therapist | 208 W Dl Ingram Ave, 27 Somdg, Cannon Afb, NM 88103 | 2005-12-22 |
| 1346540358 | Nadia Teale | Psychologist | 208 W Dl Ingram Ave, 27 Somdg, Cannon Afb, NM 88103-5014 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| Find all providers in zip 88103 | ||||
| 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 |
|---|---|---|---|---|
| 1891733424 | Dustin Deric Harlin | Optometrist | 224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 | 2006-06-04 |
| 1821076829 | Neil M Horner | Optometrist | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88101-5103 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942207 | Tina Nguyen | Optometrist | Highway Junction 371, Route 9, Crownpoint, NM 87313 | 2020-08-13 |
| 1598380545 | Nina Gabrielle Ballew | Optometrist | 4411 The 25 Way Ne Ste 325, Albuquerque, NM 87109-5853 | 2020-06-15 |
| 1477178259 | Amanda C Lallensack | Optometrist | 4101 Indian School Rd Ne Ste 225, Albuquerque, NM 87110-4072 | 2020-06-08 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 1780233833 | Eye Associates of New Mexico, Ltd. | Optometrist | 1817 Wellspring Ave Se Ste A, Rio Rancho, NM 87124-4956 | 2019-09-10 |
| 1891357927 | Elizabeth Aneal Dosch | Optometrist | 1415 S Valley Dr Ste 200, Las Cruces, NM 88005-3135 | 2019-06-28 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1992282206 | Jarrett Wayne Dotson | Optometrist | 7850 Jefferson St Ne Ste 160, Albuquerque, NM 87109-4314 | 2018-07-19 |
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88103 |
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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.