Individual provider · Type 1 NPI

Samuel Anthony Minaker, MD

Ophthalmology Physician · Tyler, TX

NPI number 1174194955 Active

Practice location

1201 W Grande Blvd
Tyler, TX 75703-6124

Call (903) 597-4644 Map

Fax (903) 266-9449

Mailing address

4539 Cascades Shoreline Dr
Tyler, TX 75709-8902

Specialties and licenses

Taxonomy	Code	License
Retina Specialist (Ophthalmology) Physician	207WX0107X	V9664 (TX)
Ophthalmology Physician	207W00000X	036155679 (IL)
Retina Specialist (Ophthalmology) Physician	207WX0107X	036.155679 (IL)
Ophthalmology Physician Primary	207W00000X	V9664 (TX)

Ophthalmology Physician: 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,…

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About NPI 1174194955

Samuel Anthony Minaker, MD's National Provider Identifier is 1174194955, issued on Jul 2, 2021. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Tyler, TX. The record was last updated on Oct 1, 2025.