Bruce Jay Gaddie, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0746DT Issued in KY

Practice address

7635 Shelbyville Rd
Louisville, KY 40222-5409

Phone

(502) 423-8500

Fax

(502) 339-0571

NPI assigned

Feb 15, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in KY

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

Interoperability endpoints

• Direct secure messaging: bruce.gaddie@direct.revolutionehr.com

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.

• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1396396750
  Medicare reassignment NPD
• Gaddie Eye Centers, LLC

  • Optometrist
  • Louisville, KY
  • NPI 1790759884

  Corneal and Contact Management

  Medicare reassignment NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1811961097",
    "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": {
        "last_name": "GADDIE",
        "first_name": "BRUCE",
        "middle_name": "JAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KY",
            "license": "0746DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77007466",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000068679",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4379776",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Gackenbach
• Brian Keith Gackenbach, APRN
• Amy Michelle Gadansky, LCSW
• Nadya Marina Gadberry, BCBA
• Gaddie Eye Centers, LLC
• Ian Ben Gaddie, O.D.
• Jean Nelson Gaddie
• Spencer Margaret Gadlage, APRN
• Michelle Gaeta, OTR
• Michael James Gaffney, MD

• Corneal and Contact Management Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Corneal and Contact Management Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.