DR. TRACY TATE (NPI# 1053452110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452110 |
| Entity Type | Individual |
| Full Name | DR. TRACY TATE |
| Credential | OD |
| Practice Address |
5300 Cornerstone North Blvd Centerville OH 45440-2268 |
| Practice Telephone | 9376406015 |
| Practice Fax Number | 9376406016 |
| Mailing Telephone | 9376406015 |
| Mailing Fax Number | 9376406016 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5244 T2148 | OH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386994192 | Tracy Tate | Home Health Aide | 1818 New York Av, 117 Global Health Care, Washington, DC 20002 | 2012-09-19 |
| Street Address |
5300 CORNERSTONE NORTH BLVD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45440-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699168229 | Costco Wholesale Corporation | Hearing Aid Equipment | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2015-03-06 |
| 1942691795 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2015-02-16 |
| 1669876926 | Justin Fru | Pharmacist | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2014-10-15 |
| 1679988398 | Costco Wholesale Corporation | Pharmacy | 5300 Cornerstone North Blvd, Centerville, OH 45440 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043405624 | Steven Michael Grout | Optometrist | 101 E Alex Bell Rd Ste 120, Centerville, OH 45459-2789 | 2007-09-07 |
| 1083739346 | Antonia K Taylor | Optometrist | 2930 Watson Blvd, Centerville, GA 31028-1245 | 2007-03-19 |
| 1851466197 | Mason Matthew Wybrow | Optometrist | 308 N Market Place Dr, Centerville, UT 84014-1702 | 2006-11-22 |
| 1558468181 | Carol J Ballard | Optometrist | 205 1/2 E Public Sq, Centerville, TN 37033-1601 | 2006-09-17 |
| 1740215003 | Samuel A Borchers | Optometrist | 330 N Main Street, Suite #104, Centerville, OH 45459 | 2006-07-12 |
| 1881635381 | Lisa Timmerman | Optometrist | 125 E Franklin St, Centerville, OH 45459-5915 | 2006-06-08 |
| 1053363390 | Thomas Norman Johnson | Optometrist | 125 N 13th St, Centerville, IA 52544-1705 | 2006-05-16 |
| 1316921653 | Leland G Denhartog | Optometrist | 112 West Maple, Centerville, IA 52544 | 2005-11-30 |
| 1043668700 | Daniel Wallace Alletto | Optometrist | 125 N 13th St, Centerville, IA 52544-1705 | 2016-06-02 |
| 1497160667 | Craig Pew O.d., Inc | Optometrist | 200 N Market Place Dr, Centerville, UT 84014-1752 | 2014-06-26 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.