FOGG, MAXWELL & LANIER, M.D., INC. (NPI# 1114989803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114989803 |
| Entity Type | Organization |
| Organization Name | FOGG, MAXWELL & LANIER, M.D., INC. |
| Practice Address |
1817 Shaw Ave Suite 104 Clovis CA 93611-4069 |
| Mailing Address |
1360 E Herndon Ave Suite 401 Fresno CA 93720-3326 |
| Practice Telephone | 5592983600 |
| Practice Fax Number | 5592986497 |
| Mailing Telephone | 5594495010 |
| Mailing Fax Number | 5594495014 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. PAULA PENDLEY (FINANCIAL SUPERVISOR) |
| Authorized Official Telephone | 5592263975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GSD004052 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144282831 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 3830 N 1st St, Fresno, CA 93726-4301 | 2006-04-06 |
| 1255393955 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2006-04-06 |
| 1619930955 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 1360 E Herndon Ave, Suite 401, Fresno, CA 93720-3326 | 2006-04-08 |
| 1912960253 | Fogg, Maxwell & Lanier, M.d., Inc. | Ophthalmology | 3830 N 1st St, Fresno, CA 93726-4301 | 2006-04-08 |
| 1376506618 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 1817 Shaw Ave, Suite 104, Clovis, CA 93611-4069 | 2006-04-08 |
| 1992768238 | Fogg, Maxwell & Lanier, M.d., Inc. | Ophthalmology | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2006-04-08 |
| 1801859145 | Fogg, Maxwell & Lanier, M.d., Inc. | Ophthalmology | 40232 Junction Dr, Oakhurst, CA 93644-8719 | 2006-04-08 |
| 1740242445 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 40232 Junction Dr, Oakhurst, CA 93644-8719 | 2006-04-06 |
| 1023070869 | Fogg, Maxwell & Lanier, M.d., Inc. | Ophthalmology | 1360 E Herndon Ave, Suite 401, Fresno, CA 93720-3326 | 2006-04-05 |
| Street Address |
1817 SHAW AVE SUITE 104 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448726 | Michael Gaylen Harmon | Optometrist | 1817 Shaw Ave, Suite 104, Clovis, CA 93611-4069 | 2006-02-27 |
| 1376506618 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 1817 Shaw Ave, Suite 104, Clovis, CA 93611-4069 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| 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 |
|---|---|---|---|---|
| 1982216347 | Elizabeth Uribe | Optometrist | 5596 N Wright Ave, Clovis, CA 93619-8730 | 2020-08-18 |
| 1629607080 | Allison Min Chu | Optometrist | 47 W Goshen Ave, Clovis, CA 93611-7196 | 2020-04-06 |
| 1720488802 | Vision Care Center, A Medical Group Inc | Optometrist | 726 North Medical Center Drive West, Suite 101, Clovis, CA 93611-6808 | 2014-08-26 |
| 1952715351 | April Yaeko Fujihara Kahn | Optometrist | 1051 N Harvard Ave, Clovis, CA 93611-7099 | 2014-06-13 |
| 1477675304 | Vision Express, Ltd | Optometrist | 1120 E Manana Blvd, Clovis, NM 88101-3822 | 2007-04-04 |
| 1134286818 | Harold Charles Sivas | Optometrist | 280 Shaw Ave, Suite B, Clovis, CA 93612 | 2007-01-02 |
| 1205802758 | John P Sortor | Optometrist | 684 Medical Center Dr E Ste 104, Clovis, CA 93611-6806 | 2006-02-24 |
| 1952381907 | Wayne Alan Nishio | Optometrist | 145 N Clovis Ave Ste 101, Clovis, CA 93612-0361 | 2006-01-17 |
| 1215923867 | Keith David Barker | Optometrist | 621 E Llano Estacado Blvd, Clovis, NM 88101-0609 | 2005-09-20 |
| 1669466900 | Clovis Vision Associates Pa | Optometrist | 1217 Pile St, Clovis, NM 88101-5944 | 2005-09-01 |
| Find all providers in CLOVIS | ||||
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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.