MRS. SUZANNE R MAYSTEAD (NPI# 1932187911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932187911 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE R MAYSTEAD |
| Credential | OD |
| Practice Address |
1311 E Bridge Street Portland MI 48875 |
| Practice Telephone | 5176477515 |
| Practice Fax Number | 5176475445 |
| Mailing Telephone | 5176477515 |
| Mailing Fax Number | 5176475445 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2011-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901SM002704 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHP | 200000002364 | 01 | |
| BLUE CROSS | SM002704 | 01 |
| Street Address |
1311 E BRIDGE STREET |
| City | PORTLAND |
| State | MI |
| Zip Code | 48875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635025 | Gretchen Findlay | Speech-Language Pathologist | 1330 E. Grand River Ave., Suite B, Portland, MI 48875 | 2012-11-07 |
| 1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
| 1174612618 | Tom's Pharmacy LLC | Pharmacy | 1462 E Grand River Ave, Portland, MI 48875 | 2006-10-12 |
| 1033168828 | Jami M. Schneider | Dentist | 119 Bridge St., Portland, MI 48875 | 2006-05-09 |
| 1134197593 | Charlene Ann Pahl | Social Worker | 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 | 2006-03-10 |
| 1407143811 | Nicole Ann Mccrumb | Pharmacist | 1339 E Grand River Ave, Portland, MI 48875 | 2011-07-06 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1750574950 | Judy Ann Fryover | Nurse Practitioner | 427 W Grand River Ave, Portland, MI 48875-1122 | 2007-08-21 |
| 1104274992 | Morgan Alexandra Thelen | Dentist | 811 W Grand River Ave, Portland, MI 48875-1126 | 2016-06-02 |
| Find all providers in zip 48875 | ||||
| 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 |
|---|---|---|---|---|
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1407416225 | Sarah Fowler | Optometrist | 605 S Broadway St, Portland, TN 37148-1619 | 2019-06-14 |
| 1720645302 | Ryan Steve Kucala | Optometrist | 520 Nw Lost Springs Ter # Unite203, Portland, OR 97229-6655 | 2019-05-20 |
| 1023575925 | Pacific Eye Group, PC | Optometrist | 1006 Lloyd Ctr, Portland, OR 97232-1266 | 2019-02-27 |
| 1811472749 | Carole Tong | Optometrist | 8136 Se Foster Rd Ste 260, Portland, OR 97206-4288 | 2018-09-26 |
| 1528580354 | Dr. Han Tran & Associates, P.C. | Optometrist | 12100 Se 82nd Ave, Portland, OR 97086-7755 | 2017-07-13 |
| 1306384128 | Daniel & Max, LLC | Optometrist | 8795 Sw Scholls Ferry Rd, Portland, OR 97223-4409 | 2017-02-01 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| Find all providers in PORTLAND | ||||
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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.