NICHOLAS EARLS (NPI# 1598136251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598136251 |
| Entity Type | Individual |
| Full Name | NICHOLAS EARLS |
| Credential | O.D. |
| Practice Address |
2840 Bastogne Ave Fort Campbell KY 42223-5114 |
| Mailing Address |
1242 Art Gallery Rd Bedford IN 47421-8198 |
| Practice Telephone | 2706404699 |
| Mailing Telephone | 8127971746 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2009DT | KY | Eye and Vision Services Providers |
| Street Address |
2840 BASTOGNE AVE |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043499 | Dentrust Kentucky, Psc | Dentist | 2840 Bastogne Ave, Fort Campbell, KY 42223-5114 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1255813457 | Erin Elizabeth Baughman | Optometrist | 2574 23rd St, Fort Campbell, KY 42223-5307 | 2018-09-04 |
| 1790039030 | Reuben Alexander Arunasalem | Optometrist | 7973 Thunder Blvd, Fort Campbell, KY 42223 | 2012-11-08 |
| 1962600577 | Adam Glenn Coats | Optometrist | Bastogne Ave, Building 2840, Fort Campbell, KY 42223 | 2007-07-05 |
| 1003918053 | Don Alan Rademaker | Optometrist | Building 2840, Bastogne Ave., Fort Campbell, KY 42223 | 2006-09-01 |
| 1366407959 | Michael William Gentry | Optometrist | Lhc Optometry, 5979 Desert Storm Ave., Fort Campbell, KY 42223 | 2006-04-18 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1124498324 | Aaron Peterson | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-09-30 |
| 1427336445 | Chynna Nicole Chandler | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2011-07-25 |
| 1295966828 | Anna T Jones | Optometrist | 650 Joel Dr, Attn: Lapointe Health Clinic Optometry, Fort Campbell, KY 42223-5318 | 2009-07-30 |
| 1821215716 | Rademaker Eye Care, Pllc | Optometrist | Building 2840, Bastogne Ave., Fort Campbell, KY 42223 | 2007-04-20 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.