MINTA SUSAN TATE


Address: 2301 S Water, Wichita, KS 67213
Phone: 3164257259

MINTA SUSAN TATE (NPI# 1801960679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801960679
Entity Type Individual
Full Name MINTA SUSAN TATE
Other Name MINTA SUSAN IVENS
Practice Address 2301 S Water
Wichita
KS 67213
Practice Telephone 3164257259
Practice Fax Number 3162634116
Mailing Telephone 3164257259
Mailing Fax Number 3162634116
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WL0500X Optometrist
Specialization: Low Vision Rehabilitation
ACVREP 2540 AZ Eye and Vision Services Providers

Office Location

Street Address 2301 S WATER
City WICHITA
State KS
Zip Code 67213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295809069 Stacey D Langston Technician/Technologist 2301 S Water, Wichita, KS 67213 2006-11-20
1043402837 Deborah Rae Solomon Occupational Therapist 2301 S Water, Wichita, KS 67213-4819 2007-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689111965 Kelsey Lynn Riefenhauser Specialist/Technologist, Other 3100 Mccormick, Wichita, KS 67213 2017-01-25
1932579513 Gracemed Health Clinic, Inc Clinic/Center 755 W. Lincoln St, Wichita, KS 67213 2015-09-25
1134564024 Valerie Christine Wondra Physical Therapist 301 S Meridian Ave, Wichita, KS 67213 2013-05-06
1942597505 Carmen Maria Aguilar Social Worker 2312 S Meridian Ave Ste 102, Wichita, KS 67213 2011-07-05
1245568625 Joanne Velez Home Health 711 S Main, Wichita, KS 67213 2009-11-24
1093958712 Adaptive Living, LLC Occupational Therapist 2423 W. Maple, Ste B, Wichita, KS 67213 2009-04-10
1275595134 Ronald Dean Fisher Optometrist 2635 W Douglas, Wichita, KS 67213 2006-04-05
1083676936 Wichita Optometry, P.a. Optometrist 2635 W Douglas Ave, Wichita, KS 67213 2006-04-05
1427361385 Ryan Carl Emrick Optometrist 1202 W Maple St, Wichita, KS 67213 2010-07-21
1699921270 Ashley Mae Blasi Optometrist 2635 W Douglas Ave, Wichita, KS 67213 2008-08-14
Find all providers in zip 67213

Taxonomy Information

Taxonomy Code 152WL0500X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Low Vision Rehabilitation

Taxonomy Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871867416 Deena Sandall, Od Optometrist 610 N Main St Ste 213, Wichita, KS 67203-3619 2012-02-29
1003071887 William L Park, Od, LLC Optometrist 610 N Main St, Suite 201, Wichita, KS 67203-3601 2008-07-22
1699768895 Shu Tzu Wong Optometrist 2301 S Water St, Wichita, KS 67213-4819 2005-08-24
1184616807 Enivision Inc Optometrist 2301 S Water St, Wichita, KS 67213-4819 2005-08-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588605331 Dr. John Metzger Optometrist 10875 Grandview St, Suite 2260, Overland Park, KS 66210-1561 2006-06-10
1114940160 Western Kansas Low Vision Associates Pa Optometrist 310 E Walnut St, Garden City, KS 67846-5560 2006-07-25

Competitor

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City WICHITA
Zip Code 67213

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Dataset Information

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.

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