Samuel Canon (NPI# 1285693473, PAC ID# 0345382156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1285693473 |
| PAC ID by PECOS | 0345382156 |
| Professional Enrollment ID | I20100116000041 |
| Full Name | Samuel Canon |
| Organization Legal Name | PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC. |
| Address |
3600 Billy Hext Rd Odessa TX 79765-8958 |
| Phone Number | 7326860760 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4789726597 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3600 Billy Hext Rd, Odessa, TX 79765-8958 | 7326860760 | PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC. |
| Organization Legal Name | PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC. |
| Physicians | 1 |
| Street Address |
3600 BILLY HEXT RD |
| City | ODESSA |
| State | TX |
| Zip | 79765-8958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Paradeaux | Nurse Practitioner | Permian Premier Health Services Inc | 980 E 87th St D, Steward Medical Group of Texas, Odessa, TX 79765-1318 |
| Robert L Chappell Jr. | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Ritchie Rosso | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Nathan A Rosso | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Jason R Dominguez | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Kris L Howard | Dermatology | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Nicole Leann Connelly | Physician Assistant | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Sam Eun Kim | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| David Davison | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Santiago Giraldo | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Find all physicians in zip 79765 | |||
| City | ODESSA |
| Zip Code | 79765 |
| Specialty | OPTOMETRY |
| City + Specialty | ODESSA + OPTOMETRY |
Please comment or provide details below to improve the information on Samuel Canon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.