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).
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 |
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 |
Street Address |
2301 S WATER |
City | WICHITA |
State | KS |
Zip Code | 67213 |
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 |
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 Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
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] |
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 |
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 |
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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.