Individual provider Active NPI

Adam Glenn Coats, O.D.

  • Optometrist
  • Fort Campbell, KY
National Provider Identifier
1962600577
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2761 Issued in TN
Practice address
Bastogne Ave, Building 2840
Fort Campbell, KY 42223
Phone
(270) 640-4699
Fax
(270) 640-6347
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2761 TN Primary

Addresses

Primary practice location

Bastogne Ave, Building 2840
Fort Campbell, KY 42223

Mailing address

513 Aristides Dr
Bowling Green, KY 42104-5595
Phone (270) 535-2096

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
I20070927000235 KY Practitioner - Optometry 7618062209 Reassigns benefits to 2 organizations
Practice locations: Powderly, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Northwoods Dr
Greenville, KY 42345-4298

609 W Main St
Powderly, KY 42367-5486

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1699KYMDClinical Psychologist
2761TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Care Professionals PLLC Optometrist CurrentSince Apr 1, 2012 Accepting new patients
Coats Family Eye Care PLLC Optometrist CurrentSince Aug 7, 2025 Accepting new patients
Stephen Wood, OD Optometrist Past Accepting new patients

Locations

2625 Nashville Rd
Ste 101
Bowling Green, KY 42101
Phone (270) 781-3937

2840 Bastogne Ave
Fort Campbell, KY 42223
Phone (270) 640-4699

609 W Main St
Powderly, KY 42367
Phone (270) 338-4091

Organizations & group practices 3

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1962600577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 ARISTIDES DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045595",
            "telephone_number": "270-535-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASTOGNE AVE, BUILDING 2840",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-640-4699",
            "fax_number": "270-640-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "ADAM",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.