DOUGLAS CHARLES MINER (NPI# 1942255906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942255906 |
| Entity Type | Individual |
| Full Name | DOUGLAS CHARLES MINER |
| Credential | O.D. |
| Practice Address |
1635 N Greenfield Rd Suite 136 Mesa AZ 85205-4005 |
| Mailing Address |
4820 E Fairfield St Mesa AZ 85205-5344 |
| Practice Telephone | 4802192412 |
| Practice Fax Number | 4802192843 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 641 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 116725 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326026550 | Douglas Miner | Radiology | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2006-01-06 |
| Street Address |
1635 N GREENFIELD RD SUITE 136 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366808610 | Brooke Ethington | Physician Assistant | 1635 N Greenfield Rd, Mesa, AZ 85205-4005 | 2015-12-31 |
| 1225416027 | Robinson Orthodontics | Dentist | 1635 N Greenfield Rd, Suite 103, Mesa, AZ 85205-4005 | 2015-05-12 |
| 1225375868 | Sanya Beronja | Nurse Practitioner | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2013-01-15 |
| 1477763498 | Elite Optical, LLC | Optometrist | 1635 N Greenfield Rd, Suite 136, Mesa, AZ 85205-4005 | 2007-05-22 |
| 1720207087 | Red Mountain Family Medicine | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205 | 2007-04-25 |
| 1275652042 | Pamela Lea Edens | Nurse Practitioner | 1635 N Greenfield Rd, #134 Red Mountain Family Medicine, Mesa, AZ 85205 | 2007-03-29 |
| 1225119159 | Mary L.a. Andrews | Family Medicine | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2006-10-18 |
| 1639101629 | Suzanne Bentz | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205-4005 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| 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 |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1275001927 | Arizona Vision of Mesa | Optometrist | 1425 S Alma School Rd Ste 103, Mesa, AZ 85210-2000 | 2018-11-09 |
| 1538681762 | Kelsey Lynn Roumfort | Optometrist | 1303 S Longmore Ste 2, Mesa, AZ 85202-9607 | 2017-07-10 |
| 1629520663 | Tom Sowash Od & Associates, PC | Optometrist | 1826 S Signal Butte Rd, Suite 101, Mesa, AZ 85209-2730 | 2016-10-25 |
| 1235594391 | Trusight Optometry, LLC | Optometrist | 6525 E Southern Ave, Mesa, AZ 85206-3711 | 2015-12-16 |
| 1720419534 | Todd Christian Brown | Optometrist | 8435 E Baseline Rd Bldg C, Mesa, AZ 85209-4379 | 2013-12-03 |
| 1154692226 | Mesa Vision Partners,pllc | Optometrist | 937 N Dobson Rd, Ste 102, Mesa, AZ 85201-7588 | 2012-01-22 |
| 1649553355 | Elena Filatova | Optometrist | 1423 S Higley Rd Ste 104, Mesa, AZ 85206-3449 | 2011-09-20 |
| 1962784975 | Blaine Kenneth Watkins | Optometrist | 1155 S Power Rd, Suite 102, Mesa, AZ 85206-3715 | 2011-09-15 |
| Find all providers in MESA | ||||
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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.