GREGG DUISTERMARS (NPI# 1376696427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376696427 |
| Entity Type | Individual |
| Full Name | GREGG DUISTERMARS |
| Credential | O.D. |
| Practice Address |
1201 Medical Plaza Ct Granbury TX 76048-5684 |
| Practice Telephone | 8172799044 |
| Practice Fax Number | 8175736234 |
| Mailing Telephone | 8172799044 |
| Mailing Fax Number | 8175736234 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7368TG | TX | Eye and Vision Services Providers |
| Street Address |
1201 MEDICAL PLAZA CT |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-5684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066255 | Shannon Ray Mueller | Podiatrist | 1201 Medical Plaza Ct, Granbury, TX 76048-5684 | 2005-07-07 |
| 1861491037 | Nicole A. Mueller P.a. | Ophthalmology | 1201 Medical Plaza Ct, Granbury, TX 76048-5684 | 2005-07-19 |
| 1992703789 | Nicole Alison Mueller | Ophthalmology | 1201 Medical Plaza Ct, Granbury, TX 76048-5684 | 2005-07-14 |
| 1851399893 | Brazos Foot and Ankle Clinic P.a. | Podiatrist | 1201 Medical Plaza Ct, Granbury, TX 76048-5684 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| 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 |
|---|---|---|---|---|
| 1083222111 | Med Southwest, Pllc | Optometrist | 1030 East Hwy 377 Ste 106, Granbury, TX 76048-1457 | 2020-07-15 |
| 1891051660 | Rajal Goswami Noorali | Optometrist | 735 E Hwy 377, Granbury, TX 76048-2578 | 2012-04-05 |
| 1821155417 | James I Hart | Optometrist | 735 Hwy 377 E, Granbury, TX 76048 | 2007-01-02 |
| 1043387277 | Bryan Mcdaniel | Optometrist | 1030 E Hwy 377 Ste 106, Granbury, TX 76048-1457 | 2006-11-30 |
| 1184613739 | Bruce B Wadley | Optometrist | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 | 2005-10-17 |
| 1134122260 | Robert Brian Yeaman | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2005-05-23 |
| 1245682665 | Jessica Kenney | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2016-07-09 |
| 1063822252 | Stellar Vision Corporation | Optometrist | 735 E Highway 377, Granbury, TX 76048-2578 | 2014-04-28 |
| 1700071883 | Granbury Eye Care PC | Optometrist | 1101 Waters Edge Dr, Ste 104, Granbury, TX 76048-1474 | 2007-09-11 |
| 1073518072 | Courtney Cheyne Cobbs | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2005-06-16 |
| Find all providers in GRANBURY | ||||
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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.