Gaddie Eye Centers, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GADDIE EYE CENTERS, LLC

Practice address

7635 Shelbyville Rd
Louisville, KY 40222-5409

Phone

(502) 423-8500

Fax

(502) 339-0571

NPI assigned

Feb 15, 2006

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ian Ben Gaddie, ODNPI 1053385476

Title

Authorized Official

Phone

(502) 423-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian Ben Gaddie, O.D.

  • Corneal and Contact Management Optometrist
  • Louisville, KY
  • NPI 1053385476
  Medicare reassignment Care Compare group NPD Authorized official
• Brian M Clark, O.D.

  • Optometrist
  • Louisville, KY
  • NPI 1164686572
  Medicare reassignment Care Compare group NPD
• Donald J Gossom, O.D.

  • Corneal and Contact Management Optometrist
  • Louisville, KY
  • NPI 1457325896
  Medicare reassignment Care Compare group NPD
• Jacqueline Agnes Jennings, OD

  • Optometrist
  • La Grange, KY
  • NPI 1245892645
  Medicare reassignment Care Compare group NPD
• Benjamin Paxton

  • Optometrist
  • Louisville, KY
  • NPI 1871021840
  Medicare reassignment Care Compare group NPD
• Caroline R. Spencer, O.D.

  • Optometrist
  • Frankfort, KY
  • NPI 1104486489
  Medicare reassignment Care Compare group NPD
• Robert Lee Ensley, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1619317302

  KY

  Medicare reassignment Care Compare group NPD
• Laura Lea Bassett, OD

  • Corneal and Contact Management Optometrist
  • Louisville, KY
  • NPI 1003880212
  Medicare reassignment Care Compare group
• Jannelle Engel, O.D.

  • Optometrist
  • Brandenburg, KY
  • NPI 1750739926
  Medicare reassignment NPD
• Bruce Jay Gaddie, O.D.

  • Corneal and Contact Management Optometrist
  • Louisville, KY
  • NPI 1811961097
  Medicare reassignment NPD
• Tiffany Ann Harder, O.D.

  • Optometrist
  • Louisville, KY
  • NPI 1841546629
  Medicare reassignment NPD
• Paul M Karpecki, OD

  • Optometrist
  • Lexington, KY
  • NPI 1619910569
  Medicare reassignment NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1790759884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225409",
            "telephone_number": "502-423-8500",
            "fax_number": "502-339-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225409",
            "telephone_number": "502-423-8500",
            "fax_number": "502-339-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADDIE EYE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "GADDIE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "502-423-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE7398",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI8844",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901213",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan L Gabriele, APRN
• Brenda Gackenbach
• Brian Keith Gackenbach, APRN
• Amy Michelle Gadansky, LCSW
• Nadya Marina Gadberry, BCBA
• Bruce Jay Gaddie, O.D.
• Ian Ben Gaddie, O.D.
• Jean Nelson Gaddie
• Spencer Margaret Gadlage, APRN
• Michelle Gaeta, OTR

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.