Darrell L Tade, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1142DT Issued in KY

Practice address

760 Campbell LN Ste 120
Bowling Green, KY 42104-1085

Phone

(270) 781-3937

Fax

(270) 783-3435

NPI assigned

Jan 18, 2007

Last updated

Feb 3, 2014By the provider in NPPES

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 1

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

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.

• Precision Eye Care Professionals PLLC

  • Optometrist
  • Bowling Green, KY
  • NPI 1831350164
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1871645614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CAMPBELL LN STE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041085",
            "telephone_number": "270-781-3937",
            "fax_number": "270-783-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CAMPBELL LN STE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041085",
            "telephone_number": "270-781-3937",
            "fax_number": "270-783-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADE",
        "first_name": "DARRELL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1142DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011427",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Lynn Sweeney, P.T.
• Anna Sweets
• T J Samson Community Hospital (TJ Health Bowling Green Oncology & Hematology)
• Jennifer Tabb, CARE REP
• Chelsea Anne Tabor, RD, LD
• India Talbott, RN
• David Tamayo, MD
• Taotafa S Tamminga, APRN
• John C Tapp, M.D, F.A.A.F.P, CCD,
• Josie Tapp

• Optometrist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.