DR. DARRELL L TADE (NPI# 1871645614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871645614 |
| Entity Type | Individual |
| Full Name | DR. DARRELL L TADE |
| Credential | O.D. |
| Practice Address |
760 Campbell Ln Ste 120 Bowling Green KY 42104-1085 |
| Practice Telephone | 2707813937 |
| Practice Fax Number | 2707833435 |
| Mailing Telephone | 2707813937 |
| Mailing Fax Number | 2707833435 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1142DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77011427 | 05 |
| Street Address |
760 CAMPBELL LN STE 120 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430040 | Brandon Goodpaster | Chiropractor | 760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 | 2019-01-08 |
| 1255854113 | Grace Kimrey Baird | Optometrist | 760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1912541087 | Oak Tree Eye Clinic 2, Inc | Optometrist | 952 Fairview Ave Ste 1, Bowling Green, KY 42101-4943 | 2019-11-01 |
| 1285199562 | Dhp Retail Entity, LLC | Optometrist | 1680 Campbell Ln Ste 104, Bowling Green, KY 42104-1062 | 2019-01-31 |
| 1609305580 | Jackelleyn Renee Mudd | Optometrist | 1310 S Business 61, Bowling Green, MO 63334-5221 | 2017-06-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1548312481 | Robert Burlien Duvall | Optometrist | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 | 2007-01-18 |
| 1356411623 | Ozzie Lee Avery Jr. | Optometrist | 738 Chestnut Street, Bowling Green, KY 42101 | 2006-11-08 |
| 1184709636 | Russell King Heltsley IIi | Optometrist | 2425 Scottsville Rd, Suite #114, Bowling Green, KY 42104-4457 | 2006-10-25 |
| 1386740314 | David Herman Scherreik | Optometrist | 128 S Prospect St, Bowling Green, OH 43402-2904 | 2006-09-16 |
| 1245333715 | John T Archer & Associates Inc | Optometrist | 1222 Ridgewood Dr, Bowling Green, OH 43402-2664 | 2006-09-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.