DR. TAYLOR LEE DOUGLAS (NPI# 1487150165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487150165 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR LEE DOUGLAS |
| Credential | OD |
| Practice Address |
900 W Mem Dr Houghton MI 49931 |
| Mailing Address |
208 E South Ave Houghton MI 49931-2010 |
| Practice Telephone | 9064879767 |
| Practice Fax Number | 9064879380 |
| Mailing Telephone | 2698065577 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901005117 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1811511181 | Taylor M Douglas | Student in an Organized Health Care Education/Training Program | W1766 Ten Eyck Rd, Brodhead, WI 53520-9528 | 2020-06-02 |
| 1669016234 | Taylor Douglas | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-11-06 |
| 1457884447 | Taylor Douglas | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Box 1228, Brooklyn, NY 11203-2012 | 2017-04-06 |
| 1053729889 | Taylor Brooks Douglas | Technician, Other | 515 Palm Coast Pkwy Sw, Suite 6/7, Palm Coast, FL 32137-4739 | 2014-07-24 |
| Street Address |
900 W MEM DR |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053447 | Meghan Lawler Immel | Counselor | 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-09-25 |
| 1205495710 | Public Counseling Services, LLC | Counselor | 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-06-08 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1033640867 | Larry Binoniemi | Pharmacist | 995 Razoback Dr, Houghton, MI 49931 | 2017-03-23 |
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1306027057 | Gary Kilpela | Psychologist | 301 West Lake Ave., Suite 2, Houghton, MI 49931 | 2007-11-23 |
| 1811186455 | Baraga-houghton-keweenaw Child Development Board | Public Health or Welfare | 700 Park Avenue, Houghton, MI 49931 | 2007-10-19 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1417080813 | Western Upper Peninsula Substance Abuse Services Coordinating Agency | Case Management | 902 West Sharon Ave., Houghton, MI 49931 | 2007-03-14 |
| Find all providers in zip 49931 | ||||
| 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 |
|---|---|---|---|---|
| 1295388650 | Kayla M Saari | Optometrist | 850 W Sharon Ave Ste 8, Houghton, MI 49931-1968 | 2019-07-24 |
| 1679649677 | Craig Boyd Kurtz | Optometrist | 1014 College Avenue, Houghton, MI 49931 | 2006-11-28 |
| 1053324426 | Holly Sue O Clair | Optometrist | 1014 College Ave, Houghton, MI 49931-1823 | 2006-08-15 |
| 1114433083 | R & M Eye Care, P. C. | Optometrist | 1014 College Ave, Houghton, MI 49931-1823 | 2017-12-14 |
| 1891213260 | Ross Paul Dumonthier | Optometrist | 1014 College Ave, Houghton, MI 49931-1823 | 2017-09-06 |
| 1619495272 | Megan Melissa Charney | Optometrist | 1014 College Ave, Houghton, MI 49931 | 2017-09-05 |
| 1225104227 | Martin Edward Harkins | Optometrist | 1014 College Avenue, Houghton, MI 49931 | 2006-11-28 |
| 1679649685 | College Avenue Vision Clinic PC | Optometrist | 1014 College Avenue, Houghton, MI 49931 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
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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.