SAMUEL L ERWIN (NPI# 1629082250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082250 |
| Entity Type | Individual |
| Full Name | SAMUEL L ERWIN |
| Practice Address |
609 N Missouri Ave Corning AR 72422-1617 |
| Mailing Address |
Po Box 37 Corning AR 72422-0037 |
| Practice Telephone | 8708576556 |
| Practice Fax Number | 8708573787 |
| Mailing Telephone | 8708576556 |
| Mailing Fax Number | 8708573787 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2293 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PTAN | 291690 | 01 |
| AR | 101510722 | 05 |
| Street Address |
609 N MISSOURI AVE |
| City | CORNING |
| State | AR |
| Zip Code | 72422-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518054055 | Southern Eye Associates | Optometrist | 609 N Missouri Ave, Corning, AR 72422-1617 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639326341 | Michele Ann Crancer | Speech-Language Pathologist | 510 Wynn Park Drive, Corning, AR 72422 | 2008-08-25 |
| 1639104920 | Stacy R Arnell | Social Worker | 602 David Street, Corning, AR 72422 | 2006-07-12 |
| 1285046896 | Krystal Dawn Upshaw | Podiatrist | 1300 Creason Rd, Corning, AR 72422 | 2014-06-02 |
| 1760803241 | Kristen Nicole Bruce | Counselor | 602 David St, Corning, AR 72422 | 2013-12-30 |
| 1316211469 | Lisa Lynn Vinal | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422 | 2012-03-06 |
| 1538431556 | Susie Elaine Flanery | Social Worker | 1300 Creason Rd, Corning, AR 72422 | 2012-02-07 |
| 1023230661 | Corning Public Schools | Local Education Agency (LEA) | 500 Bobcat Lane, Corning, AR 72422-0479 | 2007-05-03 |
| 1003951278 | Karen R Crawley | Speech-Language Pathologist | 2503 Cherry St, Corning, AR 72422-1315 | 2007-02-21 |
| 1649821844 | Jill Ann Foster | Nurse's Aide | 301 Griggs Ln, Corning, AR 72422-1425 | 2019-09-28 |
| 1700211489 | Bradley Chiropractic Center, LLC | Chiropractor | 301 N Missouri Ave, Suite 17, Corning, AR 72422-1600 | 2013-09-12 |
| Find all providers in zip 72422 | ||||
| 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 |
|---|---|---|---|---|
| 1255365300 | Timothy Wayne Robertson | Optometrist | 400 Solano St, Corning, CA 96021-3433 | 2006-07-11 |
| 1811934961 | Herman Bernard Greulick | Optometrist | 107 West Market Street, Empire Vision Centers, Corning, NY 14830 | 2006-05-31 |
| 1720044464 | Empire Vision Center Inc | Optometrist | 107-113 West Market Street, Corning, NY 14830-2519 | 2006-04-21 |
| 1205801941 | John G Thomsen | Optometrist | 715 Davis Ave, Corning, IA 50841-1418 | 2006-02-17 |
| 1285628123 | Judy M Jeffers | Optometrist | 232 Denison Pkwy E, Corning, NY 14830-2813 | 2005-09-07 |
| 1144227299 | Edward V Cordes | Optometrist | 130 Center Way, Corning, NY 14830-2255 | 2005-07-05 |
| 1275073371 | Timothy W. Robertson, O.d., Professional Corporation | Optometrist | 400 Solano St, Corning, CA 96021-3433 | 2017-03-08 |
| 1336326461 | Julie D Curran | Optometrist | 107 W Market St, Corning, NY 14830-2519 | 2008-01-31 |
| 1710166459 | Twin Tiers Eye Care Associates, PC | Optometrist | 232 Denison Pkwy E, Corning, NY 14830-2813 | 2007-10-30 |
| 1831214220 | Robert H. Sharp, O.d., PC | Optometrist | 715 Davis Ave, Corning, IA 50841-1418 | 2007-03-21 |
| Find all providers in CORNING | ||||
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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.