DR. CRYSTAL MIZELL (NPI# 1013261288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013261288 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL MIZELL |
| Practice Address |
2030 Cumming Hwy Ste 106 Canton GA 30115-8009 |
| Practice Telephone | 6784932220 |
| Practice Fax Number | 6784934832 |
| Mailing Telephone | 6784932220 |
| Mailing Fax Number | 6784934832 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2013-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002725 | GA | Eye and Vision Services Providers |
| Street Address |
2030 CUMMING HWY STE 106 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1972136224 | Myeyedr Optometry of Georgia LLC | Optometrist | 1409 Sixes Rd, Canton, GA 30114-8950 | 2020-02-14 |
| 1508497041 | Megan Rath | Optometrist | 4233 Fulton Dr Nw, Canton, OH 44718-2856 | 2020-02-03 |
| 1235769027 | Canton Optique, LLC | Optometrist | 41840 Ford Rd, Canton, MI 48187-3600 | 2020-01-21 |
| 1740665298 | Belleville-canton Optometry LLC | Optometrist | 1675 N Canton Center Rd, Canton, MI 48187 | 2015-07-27 |
| 1538567243 | Blink Eyecare, Pllc | Optometrist | 108 N. Ridge Rd, Canton, MI 48187-6678 | 2014-12-11 |
| 1528485703 | Eye Definition Pllc | Optometrist | 405 N. Canton Center, Canton, MI 48187 | 2014-03-25 |
| 1922371665 | Sharper Vision, Pllc | Optometrist | 1675 N. Canton Center Rd., Canton, MI 48187 | 2012-02-10 |
| 1508133588 | Vishal Sanjay Patel | Optometrist | 201 Kimberly Way, Suite 106, Canton, GA 30114-8008 | 2011-11-19 |
| 1356570691 | Nathan David Borntrager | Optometrist | 4820 Everhard Rd Nw, Canton, OH 44718-2413 | 2009-07-08 |
| 1285892935 | Precision Eyecare LLC | Optometrist | 1409 Sixes Road, Canton, GA 30114 | 2008-05-29 |
| Find all providers in CANTON | ||||
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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.