Mr. Samuel Anthony Minaker
M.D. | Retina Specialist | 10+ years Exp
Medicare Enrolled 1201 W Grande Blvd, Tyler
Texas, 75703-6124
903-597-4644 903-266-9449
Maps & DirectionsMr. Samuel Anthony Minaker is a Tyler, Texas based Retina Specialist with 10 years of experience in Retina Specialist. 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 specializes in the diagnosis and treatment of vitreoretinal diseases. This subspecialty includes the medical and surgical management of retinal and vitreous diseases, including retinal detachment, diabetic retinopathy, macular degeneration, and other disorders of the retina and vitreous.
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: | Retina Specialist |
| Credentials: | M.D. |
| Experience: | 10+ 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 | Retina Specialist | Texas | Secondary | |
| 036155679 | Ophthalmology | Illinois | Secondary | |
| 036.155679 | Retina Specialist | Illinois | Secondary | |
Hospital Affiliation:
Doctors can be 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 |
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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.