RONALD MIRANDA (NPI# 1326103961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326103961 |
| Entity Type | Individual |
| Full Name | RONALD MIRANDA |
| Credential | OD |
| Practice Address |
377 W Jackson St Cookeville TN 38501-5930 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 9315251268 |
| Practice Fax Number | 9315208717 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1503 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3944004 | 05 |
| Street Address |
377 W JACKSON ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184717548 | Bi Lo LLC | Pharmacy | 377 W Jackson St, Suite 25, Cookeville, TN 38501-5930 | 2006-09-30 |
| 1588738926 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 377 W Jackson St, Jackson Plaza, Cookeville, TN 38501-5930 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1588287353 | National Vision Inc | Optometrist | 1265 Interstate Dr Ste 203, Cookeville, TN 38501-5227 | 2020-05-27 |
| 1629284435 | Ronald D Hall | Optometrist | 340 S Lowe Ave, Cookeville, TN 38501-4737 | 2007-05-16 |
| 1891851937 | Heather Kay Brown-conner | Optometrist | 1177 Sams St, Cookeville, TN 38506-4007 | 2006-12-30 |
| 1609827542 | Garrett Clark Shepherd | Optometrist | 45 N Dixie Ave, Cookeville, TN 38501-3372 | 2006-05-15 |
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1366425605 | Ralph H Mullins | Optometrist | 585 E 10th St, Cookeville, TN 38501-1807 | 2005-11-21 |
| 1255320859 | Matthew Kurt Mosteller | Optometrist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2005-10-17 |
| 1477546638 | Jane Elisabeth Wheeler | Optometrist | 768 S Willow Ave Ste A, Cookeville, TN 38501-3892 | 2005-08-23 |
| 1801895438 | Stephen M Richardson | Optometrist | 430 Neal St, Cookeville, TN 38501-0916 | 2005-07-15 |
| 1245237247 | James E. Miller | Optometrist | 628 E 10th St, Cookeville, TN 38501-1810 | 2005-07-05 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on RONALD MIRANDA.
| 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.