Samuel Ray Simmons in Fort Wayne - Optometrist

Samuel Ray Simmons - NPI 1295811305

Samuel Ray Simmons is a Optometrist in Fort Wayne, Indiana. Samuel Ray Simmons practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Samuel Ray Simmons is 1295811305. The last update date is 2007-07-09.

Samuel Ray Simmons's current location address is 3411 N Anthony Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604821707 and fax number 2604821707. The mailing address for Samuel Ray Simmons is 3411 N Anthony Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Ray Simmons
Address 3411 N Anthony Blvd, Fort Wayne, Indiana
Phone Number 2604821707
Fax Number 2604821707
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1295811305
Provider Enumeration Date 2006-10-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3411 N Anthony Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468052233
Phone Number 2604821707
Fax Number 2604821707

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18001933A
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2049 IN SPECTERA INSURANCE
135021 IN EYEMED INSURANCE

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FAQs about Samuel Ray Simmons

What is the unique identifier code issued to Samuel Ray Simmons by the Centers for Medicare & Medicaid Services?

The Samuel Ray Simmons has been assigned the NPI (National Provider Identifier) 1295811305. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Samuel Ray Simmons's physical address?

The Samuel Ray Simmons is physically located at 3411 N Anthony Blvd, in the city of Fort Wayne, IN, with the postal code 468052233.

What is Samuel Ray Simmons's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Samuel Ray Simmons is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date was the 1295811305 assigned to Samuel Ray Simmons?

The Samuel Ray Simmons was issued its 1295811305 on 2006-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Samuel Ray Simmons most recently updated or refreshed?

The details pertaining to the Samuel Ray Simmons, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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