OTHNIEL STANBERRY (NPI# 1720590102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720590102 |
| Entity Type | Individual |
| Full Name | OTHNIEL STANBERRY |
| Credential | OD |
| Practice Address |
2440 W Loop 340 Ste A7 Waco TX 76711-2427 |
| Mailing Address |
11501 Braesview Apt 104 San Antonio TX 78213-1282 |
| Practice Telephone | 2546334151 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9319T | TX | Eye and Vision Services Providers |
| Street Address |
2440 W LOOP 340 STE A7 |
| City | WACO |
| State | TX |
| Zip Code | 76711-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275052771 | National Vision, Inc. | Technician/Technologist | 2440 W Loop 340 Ste A7, Waco, TX 76711-2427 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
| 1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
| 1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
| 1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
| Find all providers in zip 76711 | ||||
| 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 |
|---|---|---|---|---|
| 1427602382 | Stacie Layne Virden Od Pa | Optometrist | 1000 W State Highway 6 Ste 210, Waco, TX 76712-3788 | 2019-07-30 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1063959666 | Daniel & Max, LLC | Optometrist | 5001 W Waco Dr, Waco, TX 76710-7021 | 2017-01-21 |
| 1154585180 | Ethelred Enterprises, LLC. | Optometrist | 614 N New Rd # 6035, Waco, TX 76710-6035 | 2008-07-18 |
| 1003022344 | Crystal Clear Optical P.C. | Optometrist | 190 N New Rd, Waco, TX 76710-6930 | 2007-05-15 |
| 1437261500 | Paul Edward Puntney | Optometrist | 6001 W Waco Dr Ste 106, Waco, TX 76710-6301 | 2006-08-31 |
| 1982711610 | Herman H Gerdes IIi | Optometrist | 4949 Franklin Ave, Waco, TX 76710-6900 | 2006-08-25 |
| 1922010800 | Clarence Louis Widmann | Optometrist | 533 Westview Vlg, Waco, TX 76710-5234 | 2006-08-12 |
| 1497794192 | Spencer V Moore | Optometrist | 1215 Lake Air Dr, Waco, TX 76710-4419 | 2006-06-06 |
| 1215927264 | David Cannon Fram | Optometrist | 2301 E Waco Dr, Waco, TX 76705-3207 | 2005-10-21 |
| Find all providers in WACO | ||||
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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.