● Active Type 1 · Individual

MR. Samuel Anthony Minaker, M.D.

Ophthalmology·Tyler, TX· NPI 1174194955 · Enumerated 2021 · 4 years on NPI

Minaker is 1 of 34 ophthalmology providers in Tyler and 1 of 2155 in Texas.

NPI age

4 years

Enumerated 2021-07-02

Primary specialty

Ophthalmology

Plus 3 subspecialties

Licensed in

TX, IL

2 states

Status

Active

No deactivations on record

Last NPPES update

2025-10-01

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 2155 active ophthalmology providers in Texas.

NPI age

4 years

↓ 15 yr below median (19 yr)

State licenses

2 states

Top 90% — 9% of peers are multi-state

Subspecialties

In the 31% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES

2021 2026

Where they practice

Practice location

1201 W Grande Blvd

Tyler, TX 757036124

📞 9035974644fax 9032669449

Mailing address

4539 Cascades Shoreline Dr

Tyler, TX 757098902

📞 7735909184

Specialties

Allopathic & Osteopathic Physicians › Ophthalmology

Ophthalmology Primary

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...

TX license #V9664IL license #036155679 taxonomy 207W00000X
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

TX license #V9664IL license #036.155679 taxonomy 207WX0107X

Identifiers

Type	Value	Notes
05 (IL)	036155679

Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.