Sunderman Dowdall

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUNDERMAN DOWDALL

Doing business as

Northern Kentucky Eye Care

Practice address

92 Alexandria Pike
Fort Thomas, KY 41075-1729

Phone

(859) 781-2000

NPI assigned

Dec 12, 2021

Organization subpart

No

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

Authorized official

Name

Tyler Dowdall, ODNPI 1356832380

Title

Owner/Optometrist

Phone

(859) 781-2000

Specialties & licenses 3

Addresses

Other names 1

• Northern Kentucky Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Dowdall, OD

  • Optometrist
  • Fort Thomas, KY
  • NPI 1356832380
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Sunderman, OD

  • Optometrist
  • Fort Thomas, KY
  • NPI 1336611557
  Medicare reassignment Care Compare group NPD
• Richard E Schuck, O.D.

  • Optometrist
  • Fort Thomas, KY
  • NPI 1528093390
  Medicare reassignment NPD
• Brooke Radcliffe

  • Optometrist
  • Fort Thomas, KY
  • NPI 1003605114
  NPD

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1275292773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDERMAN DOWDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "DOWDALL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "859-781-2000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Kentucky Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Kentucky Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Stewart, DO
• Kodie Lee Stone, MD
• Michelle E Story, D.M.D.
• Jeri Lynnette Stull, D.M.D., M.S.
• Alan Turpin Summe, M.D.
• Robert Sunderman, OD
• Terry V. Gruelle P.S.C.
• The Walking Stick LLC
• James David Theiss, DMD
• Thoma & Sutton Eyecare Professionals, LLC

• Optometrist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.