Mr. Samuel Anthony Minaker is a Tyler, Texas based male Ophthalmologist with 9 years of experience in Ophthalmology. He completed his graduation from Other in 2016. He is also affiliated with hospitals like Rush University Medical Center and Ingalls Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Samuel Anthony Minaker is V9664 for Ophthalmology in Texas. Mr. Samuel Anthony Minaker is 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, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Mr. Samuel Anthony Minaker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1201 W Grande Blvd, Tyler, Texas, 75703-6124
Phone:
903-597-4644
Fax:
903-266-9449
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2961806112
Enrollment ID:
I20210810001725
NPI Number:
1174194955
NPI Enumeration Date:
02 Jul, 2021
NPI Last Update On:
01 Oct, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Samuel Anthony Minaker are as mentioned below.
License Number
Specialization
State
Status
V9664
Ophthalmology
Texas
Primary
V9664
Texas
Secondary
036155679
Ophthalmology
Illinois
Secondary
036.155679
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Rush University Medical Center (140119)
Chicago, IL
Acute Care Hospital
Ingalls Memorial Hospital (140191)
Harvey, IL
Acute Care Hospital
Presence Saint Joseph Medical Center (140007)
Joliet, IL
Acute Care Hospital
Presence Saint Joseph Hospital - Chicago(140224)
Chicago, IL
Acute Care Hospital
Community Hospital (150125)
Munster, IN
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Samuel Anthony Minaker has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Illinois Retina Associates S C (6709799810)
15
Eye Center Physicians, Ltd. (2567411325)
30
Illinois Retina Associates S C (6709799810)
15
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Samuel Anthony Minaker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
036155679
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4539 Cascades Shoreline Dr, Tyler, Texas
Zip:
75709-8902
Phone Number:
773-590-9184
Fax Number:
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Patients can reach Mr. Samuel Anthony Minaker at 1201 W Grande Blvd, Tyler, Texas or can call to book an appointment on 903-597-4644. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Comments/ Reviews:
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