Individual provider Active NPI

Tammy Hogan Love, OD

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1912051137
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1286DT Issued in KY
Practice address
1256 Campbell LN
Suite 106
Bowling Green, KY 42104-1082
Phone
(270) 796-6021
Fax
(270) 796-6072
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1286DT KY Primary

Addresses

Primary practice location

1256 Campbell LN
Suite 106
Bowling Green, KY 42104-1082

Mailing address

1945 Scottsville Rd Ste B2
PMB 239
Bowling Green, KY 42104-5836
Phone (270) 796-6021

Other identifiers 2

IdentifierTypeStateIssuer
77012862MedicaidKY
P00312089OtherKYRAILROAD MEDICARE

Other names 1

  • Tammy Sue Hogan Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040910001082 KY Practitioner - Optometry 4183691090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love and Warden Eye Care, PLLCGroup PAC ID 8224007380, 3 clinicians

Practice addresses (Care Compare)

1639 Westpark Dr
Bowling Green, KY 42104-4712
Phone (270) 796-6021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1286DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Love and Warden Eye Care, PLLC Optometrist CurrentSince Sep 27, 2004 Accepting new patients

Locations

1256 Campbell Ln
Ste 106
Bowling Green, KY 42104
Phone (270) 796-6021

1945 Scottsville Rd
Ste B2
Bowling Green, KY 42104
Phone (270) 781-4828

1639 Westpark Dr
Bowling Green, KY 42104
Phone (270) 796-6021

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1912051137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD STE B2",
            "address_2": "PMB 239",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045836",
            "telephone_number": "270-796-6021",
            "fax_number": "270-796-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 CAMPBELL LN",
            "address_2": "SUITE 106",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041082",
            "telephone_number": "270-796-6021",
            "fax_number": "270-796-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "TAMMY",
        "middle_name": "HOGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1286DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012862",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00312089",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HOGAN",
            "middle_name": "SUE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.