DR. LYSLE SHAW-MCMINN (NPI# 1720481641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720481641 |
| Entity Type | Individual |
| Full Name | DR. LYSLE SHAW-MCMINN |
| Credential | O.D. |
| Practice Address |
27830 Bradley Rd Sun City CA 92586-2201 |
| Practice Telephone | 9516724971 |
| Mailing Telephone | 9516724971 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15133 | CA | Eye and Vision Services Providers |
| Street Address |
27830 BRADLEY RD |
| City | SUN CITY |
| State | CA |
| Zip Code | 92586-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158425 | Tommy Dinh Md Inc | Surgery | 27830 Bradley Rd, Sun City, CA 92586-2239 | 2005-07-20 |
| 1649821950 | J. C. Romero, Dds, Inc. | Dentist | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2019-09-27 |
| 1952774788 | Sun City Vision Clinic Optometry | Optometrist | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2015-11-02 |
| 1427218692 | Stephanus Ong Md Inc | Internal Medicine | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2008-06-11 |
| 1790865491 | Juan Carlos Romero | Dentist | 27830 Bradley Rd, Sun City, CA 92586-2239 | 2006-10-17 |
| 1598860983 | T D Nguyen, Md, Inc | Internal Medicine | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2006-09-13 |
| 1467426866 | Peter G Shaw- Mc Minn | Optometrist | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2006-02-14 |
| 1689647851 | John S. Hersh | Optometrist | 27830 Bradley Rd, Sun City, CA 92586-2239 | 2006-02-08 |
| 1750353496 | Michael K. Kobayashi | Optometrist | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2006-02-06 |
| 1861491722 | Tommy Dinh | Surgery | 27830 Bradley Rd, Sun City, CA 92586-2239 | 2005-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053586800 | Binoy Govindbhai Patel | Physical Therapist | 29798 Haun Rd Ste 201, Menifee, CA 92586 | 2008-04-23 |
| 1164552667 | Diana Suzanne Koenen | Marriage & Family Therapist | Sun Plaza Business Center, 27851 Bradley Rd, Suite 103, Menifee, CA 92586 | 2007-03-06 |
| 1972654804 | Mike Johnson | Specialist | 26916 Cherry Hills Boulevard, Sun City, CA 92586 | 2007-01-16 |
| 1932256849 | Mandana Mirshahzadeh | Nurse Practitioner | 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586 | 2007-01-04 |
| 1184709248 | Technomed Homecare Inc | Durable Medical Equipment & Medical Supplies | 27188 Sun City Blvd, Sun City, CA 92586 | 2006-10-26 |
| 1922193754 | Minh Pham | Dentist | 29950 Haun Rd, Ste 302, Sun City, CA 92586 | 2006-10-04 |
| 1598739203 | Kevin Khuong Nguyen | Family Medicine | 29798 Haun Road, Suite 203, Menifee, CA 92586 | 2006-02-17 |
| 1831199728 | Duane Ray Darnell | Internal Medicine | 27994 Bradley Rd, Ste F, Sun City, CA 92586 | 2005-07-21 |
| 1417445040 | Blair N Kluth | Behavioral Analyst | 27070 Sun City Blvd, Menifee, CA 92586 | 2018-04-30 |
| 1043723869 | New Hope Rx Pharmacy, Inc | Pharmacy | 29798 Haun Rd Ste 100, Menifee, CA 92586 | 2017-11-15 |
| Find all providers in zip 92586 | ||||
| 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 |
|---|---|---|---|---|
| 1669662789 | Northwest Valley Eyecare, LLC | Optometrist | 10336 W Coggins Drive, Sun City, AZ 85351-3438 | 2007-07-25 |
| 1942420120 | Sun City Vision Clinic | Optometrist | 27830 Bradley Rd., Sun City, CA 92586-2201 | 2007-04-27 |
| 1750417028 | Pramesh Patel | Optometrist | 10659 Grand Ave Ste 5, Sun City, AZ 85351-3427 | 2007-02-23 |
| 1942243514 | Kenneth Earl Christopher | Optometrist | 28081 Bradley Rd, Sun City, CA 92586-2207 | 2006-06-13 |
| 1528022654 | David Richard Toland II | Optometrist | 10336 W Coggins Dr, Suite A, Sun City, AZ 85351-3438 | 2006-04-14 |
| 1932197308 | Jetal M Patel | Optometrist | 10615 W Thunderbird Blvd, Bldg. A100, Sun City, AZ 85351-3033 | 2005-10-11 |
| 1649271164 | Eugene Shifrin | Optometrist | 10701 W Bell Rd, Sun City, AZ 85351-1074 | 2005-08-09 |
| 1083271902 | Kallie Harrier | Optometrist | 10001 W Bell Rd Ste 115, Sun City, AZ 85351-1297 | 2019-05-27 |
| 1952774788 | Sun City Vision Clinic Optometry | Optometrist | 27830 Bradley Rd, Sun City, CA 92586-2201 | 2015-11-02 |
| 1356746846 | Essential Eyecare Inc. | Optometrist | 10659 Grand Ave Ste 5, Sun City, AZ 85351-3427 | 2014-10-27 |
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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.