MR. SAMUEL ANTHONY MINAKER M.D. NPI 1174194955

NPI Information

  • NPI: 1174194955
  • Provider Name: MR. SAMUEL ANTHONY MINAKER, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1201 W GRANDE BLVD
    TYLER, TX
    ZIP 75703
  • Phone: (903) 597-4644

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NPI Details

MR. Samuel Anthony Minaker, M.D. is an ophthalmology in Tyler, TX with 10 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MR. Samuel Anthony Minaker, M.D. NPI is 1174194955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 W GRANDE BLVD
TYLER, TX
ZIP 75703-124
Phone: (903) 597-4644
Fax: (903) 266-9449

The NPI 1174194955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient complete exam of visual system (HCPCS:92004)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Photography of the retina (HCPCS:92250)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/2/2021 and was last updated on 10/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistV9664TEXASNo
2207W00000XOphthalmology036155679ILLINOISNo
3207WX0107XOphthalmologyRetina Specialist036.155679ILLINOISNo
4207W00000XOphthalmologyV9664TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036155679MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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