Individual provider Active NPI

Bernard C Tekiele, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1609879741
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004224 Issued in MI
Practice address
2501 21St Ave S
Nashville, TN 37212-5626
Phone
(615) 406-1571
Fax
(615) 859-3919
NPI assigned
May 23, 2005
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004224 MI Primary

Addresses

Primary practice location

2501 21St Ave S
Nashville, TN 37212-5626

Mailing address

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

Other practice location 1

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937 ext. 3325

Other identifiers 7

IdentifierTypeStateIssuer
Z00115OtherALVIVA HEALTH
51060953TEKOtherALBLUE CROSS BLUE SHIELD
2210338OtherALUNITED HEALTHCARE
000060953MedicaidAL
410041318OtherALMEDICARE TRAVELERS
4799000MedicaidMI
4809545MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051123000463 MI Practitioner - Optometry 5799673448 Reassigns benefits to 1 organization
I20240208001076 TN Practitioner - Optometry 5799673448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loden Vision Center of Paris, PLCGroup PAC ID 0941397244, 6 clinicians
James C Loden MD PCGroup PAC ID 3870405244, 12 clinicians

Practice addresses (Care Compare)

1024 Kelley Dr
Paris, TN 38242-4500
Phone (731) 642-5003

520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004224MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James C. Loden, MD PC CurrentSince Jan 8, 2024 Accepting new patients
Mei Operations, PLLC CurrentSince Oct 19, 2010 Accepting new patients
Loden Vision Center of Paris, PLC CurrentSince Jan 8, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Alabama Eye & Cataract Center PC PastSince May 17, 2017 Accepting new patients
Mid Michigan Eye Care Center, PC Optometrist PastSince Apr 1, 1994 Accepting new patients

Locations

4499 Town Center Pkwy
Flint, MI 48532
Phone (810) 733-7111

520 Rivergate Pkwy
Goodlettsvlle, TN 37072
Phone (615) 859-3937

2501 Hillsboro Rd
Nashville, TN 37212
Phone (615) 383-7778

1024 Kelley Dr
Paris, TN 38242
Phone (731) 642-5003

101 Movie Row
Smyrna, TN 37167
Phone (615) 859-3937

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1609879741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PKWY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "810-733-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125626",
            "telephone_number": "615-406-1571",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Rivergate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370722030",
            "country_code": "US",
            "telephone_number": "615-859-3937 x3325",
            "fax_number": "810-733-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKIELE",
        "first_name": "BERNARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "Z00115",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51060953TEK",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2210338",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060953",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "410041318",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4799000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4809545",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.