FOGG, MAXWELL & LANIER, M.D., INC. (NPI# 1376506618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376506618 |
| 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 | 5594495010 |
| Practice Fax Number | 5594495014 |
| Mailing Telephone | 5594495010 |
| Mailing Fax Number | 5594495014 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2011-10-19 |
| 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 |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0078921 | 05 | |
| CA | GSD004052 | 05 | |
| CA | CIGNA MEDICARE DMERC | 1304310004 | 01 |
| 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 |
| 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 |
| 1114989803 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 1817 Shaw Ave, Suite 104, Clovis, CA 93611-4069 | 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 |
| 1114989803 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 1817 Shaw Ave, Suite 104, Clovis, CA 93611-4069 | 2006-04-06 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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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.