Tracey Diane Dexter-Eaves, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1343 DT Issued in KY

Practice address

209 W 15TH St
Hopkinsville, KY 42240-2035

Phone

(270) 886-8129

Fax

(270) 886-4773

NPI assigned

Jun 30, 2006

Sex

Female

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 2

Other names 1

• Dr. Tracey Diane Dexter Professional name

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

Specialty

Optometry

Education

Southern College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summers Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hopkinsville, KY
  • NPI 1497803043
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1902835499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402035",
            "telephone_number": "270-886-8129",
            "fax_number": "270-886-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402035",
            "telephone_number": "270-886-8129",
            "fax_number": "270-886-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER-EAVES",
        "first_name": "TRACEY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1343 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001238",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000232416",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "DEXTER",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cristian Depalma
• Austin Derden, MS, LPCA
• Kishorkumar A Desai, M.D.
• Jaimie Nicole Devine, RN
• Madalyn Grace Dewey
• Kathy Dickinson
• Mack Dillard Jr.
• Mary Linda Dillard, ARNP
• Toya Lynette Dillard
• Melissa Divack

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.

Verify at the official NPI Registry.