Active NPI
Bernard C Tekiele, OD
- Optometrist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004224
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z00115 | Other | AL | VIVA HEALTH |
| 51060953TEK | Other | AL | BLUE CROSS BLUE SHIELD |
| 2210338 | Other | AL | UNITED HEALTHCARE |
| 000060953 | Medicaid | AL | |
| 410041318 | Other | AL | MEDICARE TRAVELERS |
| 4799000 | Medicaid | MI | |
| 4809545 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004224 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James C. Loden, MD PC | Current | Accepting new patients | |
| Mei Operations, PLLC | Current | Accepting new patients | |
| Loden Vision Center of Paris, PLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients | |
| Alabama Eye & Cataract Center PC | Past | Accepting new patients | |
| Mid Michigan Eye Care Center, PC | Optometrist | Past | 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
- 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.
-
- Specialist
- Paris, TN
- NPI 1457546665
-
- Specialist
- Birmingham, AL
- NPI 1275536385
-
dba Specialty Eye Institute
- Ophthalmology Physician
- Jackson, MI
- NPI 1649275041
Optometrist
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.