SAMUEL CANON (NPI# 1285693473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285693473 |
| Entity Type | Individual |
| Full Name | SAMUEL CANON |
| Credential | OD |
| Practice Address |
155 Se Loop 338 Odessa TX 79762-9708 |
| Mailing Address |
2301 Boyd Ave Midland TX 79705-8502 |
| Practice Telephone | 4323677241 |
| Practice Fax Number | 4325503427 |
| Mailing Telephone | 4323677241 |
| Mailing Fax Number | 4325503427 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3765T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129284906 | 05 |
| Street Address |
155 SE LOOP 338 |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-9708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417195405 | Eot-ads Lp | Ophthalmology | 155 Se Loop 338, Odessa, TX 79762-9703 | 2009-01-28 |
| 1003008756 | Eye 20 Optical Inc | Eyewear Supplier (Equipment, not the service) | 155 Se Loop 338, Suite 300, Odessa, TX 79762-9703 | 2007-08-16 |
| 1053456178 | Martin R Seiler | Technician/Technologist | 155 Se Loop 338, Suite 300, Odessa, TX 79762-9703 | 2007-02-20 |
| 1396774535 | Odessa East Loop Surgery Center,lp | Surgery | 155 Se Loop 338, Suite 500, Odessa, TX 79762-9703 | 2006-07-01 |
| 1497701056 | Alan D Smith Md Pa | Ophthalmology | 155 Se Loop 338, Suite 400, Odessa, TX 79762-9703 | 2006-05-25 |
| 1285603423 | Alan D Smith | Ophthalmology | 155 Se Loop 338, Odessa, TX 79762-9703 | 2006-03-17 |
| 1346219664 | Ralph Cockrell | Optometrist | 155 Se Loop 338, Odessa, TX 79762-9703 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| 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 |
|---|---|---|---|---|
| 1821648502 | Rgv Eye Center LLC | Optometrist | 2260 Linda Ave Ste 201, Odessa, TX 79763-2663 | 2019-09-16 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1205205408 | Mary Cairnie | Optometrist | 6018 Eastridge Rd # B, Odessa, TX 79762-5056 | 2015-09-17 |
| 1457762643 | Aaron R Urias | Optometrist | 4214 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 | 2014-05-10 |
| 1790010312 | Primary Care and Parasurgical Ophthalmic Services, Inc. | Optometrist | 3600 Billy Hext Rd., Ste 102, Odessa, TX 79765-8992 | 2009-10-15 |
| 1104003631 | Dennis Linsey Od Pa | Optometrist | 17633 Gunn Hwy, Suite 364, Odessa, FL 33556-1912 | 2008-01-28 |
| 1295920973 | Lawrence David Lassa | Optometrist | 420 N Grant Ave, Odessa, TX 79761-5156 | 2007-09-06 |
| 1336217504 | Maria G Ceballos | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2006-12-04 |
| 1255425880 | Francisco Javier Morales | Optometrist | 3863 E 42nd St, Odessa, TX 79762-5947 | 2006-10-03 |
| Find all providers in ODESSA | ||||
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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.