IAN MAISONVILLE (NPI# 1497360002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497360002 |
| Entity Type | Individual |
| Full Name | IAN MAISONVILLE |
| Practice Address |
3017 Indian Crest Dr Pelham AL 35124-4701 |
| Practice Telephone | 2055290557 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3645 | TN | Eye and Vision Services Providers |
| Street Address |
3017 INDIAN CREST DR |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| 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 |
|---|---|---|---|---|
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1720598519 | Myeyedr Optometry of Alabama LLC | Optometrist | 3143 Pelham Pkwy Ste 200, Pelham, AL 35124-6301 | 2017-10-05 |
| 1962561746 | Michael Seth Williams | Optometrist | 2617 Pelham Pkwy, Pelham, AL 35124-1322 | 2006-12-07 |
| 1194833673 | Kai Rinkowski | Optometrist | 2181 Pelham Parkway, Pelham, AL 35124-1119 | 2006-08-26 |
| 1124056262 | Jill K Meyer | Optometrist | 3429 Pelham Pkwy, Pelham, AL 35124-2009 | 2006-06-29 |
| 1366426504 | Kenneth J. Horowitz | Optometrist | 15 Canal Rd, Pelham, NY 10803-2706 | 2005-12-01 |
| 1487646832 | Jason Kenneth Dickerson | Optometrist | 2617 Highway 31 S, Pelham, AL 35124-1322 | 2005-08-19 |
| 1639644685 | Myeyedr Optometry of Alabama LLC | Optometrist | 2617 Highway 31 S, Pelham, AL 35124-1322 | 2018-10-05 |
| 1326527904 | James Brandon Perry | Optometrist | 2617 Highway 31 S, Pelham, AL 35124-1322 | 2018-08-14 |
| 1437659745 | Double Oak Mountain Eyecare, Inc | Optometrist | 3429 Pelham Pkwy, Pelham, AL 35124-2009 | 2018-02-14 |
| Find all providers in PELHAM | ||||
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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.