Tracey G Needham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5330T2239 Issued in OH

Practice address

647 Lime City Rd
Rossford, OH 43460-1444

Phone

(419) 666-0700

Fax

(419) 666-9605

NPI assigned

Nov 21, 2006

Sex

Female

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 OH

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

Medicare enrollment (NPD)

Enrolled

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.

• John T Archer & Associates Inc

  • Optometrist
  • Northwood, OH
  • NPI 1821679705

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Quality Family Eyecare, Inc

  • Optometrist
  • Rossford, OH
  • NPI 1164595203

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• John T Archer & Associates Inc

  • Optometrist
  • Bowling Green, OH
  • NPI 1245333715
  NPD
• Kopan Eyecare LLC

  • Optometrist
  • Toledo, OH
  • NPI 1861252900
  NPD (past)

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John T Archer and Associates Inc 5 clinicians

Quality Family Eyecare, Inc 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1245305754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 LIME CITY RD",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601444",
            "telephone_number": "419-666-0700",
            "fax_number": "419-666-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 LIME CITY RD",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601444",
            "telephone_number": "419-666-0700",
            "fax_number": "419-666-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "TRACEY",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5330T2239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Morehart, DMD
• Brandie M Mosley
• Edward Mothershed
• Sara Elizabeth Mowery, R.PH.
• Vickie Ella Myhand
• Tyler Houston Newbern
• Crystal 5678010047 Norman
• Northwest Ohio Primary Care Physicians, Inc
• Ohio CVS Stores LLC
• Michaela Packer

• All providers in Rossford, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.