DR. MARILYN MACALOS (NPI# 1609853019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609853019 |
| Entity Type | Individual |
| Full Name | DR. MARILYN MACALOS |
| Credential | O.D. |
| Practice Address |
1585 3rd Street Attn: Eent, Optometry Fort Polk LA 71459-5110 |
| Practice Telephone | 3375313108 |
| Mailing Telephone | 3375313108 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6405TG | TX | Eye and Vision Services Providers |
| Street Address |
1585 3RD STREET ATTN: EENT, OPTOMETRY |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043573926 | Cesar Jose Rosa | Internal Medicine | 1585 3rd Street, Fort Polk, LA 71459 | 2012-06-16 |
| 1760764328 | Connie Faye Johnson | Social Worker | 1585 3rd Street, Bayne -jones Army Community Hospital, Fort Polk, LA 71459 | 2011-09-09 |
| 1972561009 | Valentino Isaac Parris | Registered Nurse | 1585 3rd Street, Bayne-jones Hospital, Fort Polk, LA 71459-5110 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| 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 |
|---|---|---|---|---|
| 1649879503 | Yu Hang Chen | Optometrist | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2020-10-21 |
| 1003314352 | Timoteo Flores-bayer | Optometrist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-01-31 |
| 1124366687 | Joseph Bryan Ahlborn | Optometrist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2013-01-17 |
| 1376796821 | Harris Ahmad Abbasi | Optometrist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261309 | Benjamin Hieu Vu | Optometrist | 5615b Jackson St, Alexandria, LA 71303-2275 | 2020-10-05 |
| 1972110401 | Dr. Glenn M Coullard | Optometrist | 11937 Ferdinand Street, Saint Francisville, LA 70775-4342 | 2020-09-29 |
| 1811513898 | Sagar Raman Desai | Optometrist | 2300 Hospital Dr Ste 140, Bossier City, LA 71111-2193 | 2020-06-24 |
| 1215553664 | Katherine Mae Casadaban | Optometrist | 1939 Hickory Ave Ste 101, Harahan, LA 70123-5609 | 2020-06-22 |
| 1629694310 | Anna Fuller | Optometrist | 116 Killgore Rd Ste 1, Ruston, LA 71270-7090 | 2020-06-18 |
| 1366072423 | Clarity Eye Care LLC | Optometrist | 925 E Judge Perez Dr Ste 1, Chalmette, LA 70043-5376 | 2020-01-17 |
| 1306484290 | Dr. Patrick Fontenot Od, LLC | Optometrist | 525 N. Cities Service Hwy Walmart Vision Center, Sulphur, LA 70663-4107 | 2019-12-11 |
| 1902456296 | Leah Elizabeth Heitmeier | Optometrist | 91 Westbank Expy Ste 510, Gretna, LA 70053-3615 | 2019-09-18 |
| 1629626437 | Daniel & Max LLC | Optometrist | 1677 Gause Blvd # 2, Slidell, LA 70458-2209 | 2019-08-27 |
| 1598311193 | Lauren Agnew | Optometrist | 3601 Highway 190 Ste B, Mandeville, LA 70471-8632 | 2019-08-11 |
| 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.