Active NPI
Terrence L Tancabel, O.D.
- Optometrist
- Litchfield, MN
National Provider Identifier
1861468670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1765
- Practice address
- 135 N Sibley Ave
Litchfield, MN 55355-2138 - Phone
- (320) 593-3100
- NPI assigned
- Feb 23, 2006
- Last updated
- Jan 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 1765 | MN | Primary |
Addresses
Primary practice location
135 N Sibley Ave
Litchfield, MN 55355-2138
Mailing address
135 N Sibley Ave
Litchfield, MN 55355-2138
Phone (320) 593-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 N Sibley Ave
Litchfield, MN 55355-2138
Phone (320) 593-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annandale Eye Clinic Inc | Optometrist | Current | Accepting new patients |
| Annandale Eye Clinic Inc | Optometrist | Current | Accepting new patients |
Locations
135 N Sibley Ave
Litchfield, MN 55355
Phone (320) 593-3100
Organizations & group practices 2
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": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1861468670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N SIBLEY AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552138",
"telephone_number": "320-593-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N SIBLEY AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552138",
"telephone_number": "320-593-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCABEL",
"first_name": "TERRENCE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Litchfield, MN
- Kelly Ann Spandl, PTA
- St. Cloud Hospital (CentraCare Kidney Program - Litchfield)
- Steven Bachman (litchfield Chiropractic center)
- Anita M Strei, MD
- Ryan P Swenson, DDS
- Bradley Eugene Teske, R.PH.
- Fallon Madeline Theis, DDS
- Angela Heather Thompson, RN
- Timothy R. Kinsella DC PLLC (Kinsella Chiropractic Clinic)
- Tomorrow, LLC (South Rock)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.