DR. JOSEPH K DOUGLAS (NPI# 1114935426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114935426 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH K DOUGLAS |
| Credential | O.D. |
| Practice Address |
5025 Shattuck Rd Saginaw MI 48603 |
| Mailing Address |
5025 Shattuck Rd Saginaw MI 48603-2823 |
| Practice Telephone | 9897527121 |
| Practice Fax Number | 9897526918 |
| Mailing Telephone | 9897527121 |
| Mailing Fax Number | 9897526918 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004056 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTHPLUS OF MICHIGAN | 0994678 | 01 |
| MI | BLUE CROSS BLUE SHIELD | JD004056 | 01 |
| MI | MEDICARE GROUP | 1871699314 | 01 |
| MI | 4338380 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 900G310840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992231674 | Joseph Douglas | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2017-05-02 |
| Street Address |
5025 SHATTUCK RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871699314 | Douglas Family Vision, P.C. | Optometrist | 5025 Shattuck Rd, Saginaw, MI 48603-2823 | 2006-09-15 |
| 1669583258 | Karen Joyner Douglas | Optometrist | 5025 Shattuck Rd, Saginaw, MI 48603-2823 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| 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 |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1982845384 | Envision Eye Care Pllc | Optometrist | 5310 Hampton Place, Suite 2, Saginaw, MI 48604-8202 | 2009-03-13 |
| 1376737635 | Goodwill Optical Inc | Optometrist | 405 S Michigan Ave, Saginaw, MI 48602-2026 | 2007-08-30 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1609905603 | John Michael Yancho | Optometrist | 4900 Fashion Square Mall, Saginaw, MI 48604-2706 | 2007-03-05 |
| 1629118351 | Jerry C. Appold | Optometrist | 4900 Fashion Square Blvd, Sears Optical, Saginaw, MI 48604-2610 | 2007-02-08 |
| 1952462384 | Kenneth G Larson | Optometrist | 4580 State St, Green Acres Plaza, Saginaw, MI 48603-3803 | 2006-12-12 |
| 1568474518 | Paul K Douglas | Optometrist | 1205 N Michigan Ave, Saginaw, MI 48602-4729 | 2006-08-11 |
| 1154336931 | Special Needs Vision Clinic | Optometrist | 3660 Southfield Dr, Saginaw, MI 48601-5653 | 2006-07-30 |
| 1033130778 | Optical Management Systems, Inc. | Optometrist | 3200 Cabaret Trl S, Saginaw, MI 48603-2202 | 2006-07-21 |
| Find all providers in SAGINAW | ||||
Please comment or provide details below to improve the information on DR. JOSEPH K DOUGLAS.
| 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.