Caleb Nelson Tennant, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1071 Issued in WV

Practice address

511 5TH St
Moundsville, WV 26041-1901

Phone

(304) 845-1560

Fax

(304) 845-6381

NPI assigned

Jul 25, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Nova Southeastern Univ College of Dental Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Nunya CorporationGroup PAC ID 1153537584, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nunya Corporation

  • Optometrist
  • Farmington, WV
  • NPI 1245203900
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongalia County General Hospital Company

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1124258009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260410708",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 5TH ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411901",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Arts Bldg",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162017132",
            "country_code": "US",
            "telephone_number": "724-563-2146",
            "fax_number": "724-545-9678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "CALEB",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018443",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zolanna Eileen Tanner
• Daniel Joseph Tatich, DDS
• Brittany Nicole Taylor
• Lorie Ann Taylor
• Lea Marie Teeters-Sicurella
• Carrie Ann Tennant
• The Kroger Co
• Melanie Brooke Thomas
• Paula Sue Thomas
• Debbie Thompson

• Optometrist in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.