Darrell L Tade (NPI# 1871645614, PAC ID# 5991865560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1871645614 |
| PAC ID by PECOS | 5991865560 |
| Professional Enrollment ID | I20081201000487 |
| Full Name | Darrell L Tade |
| Organization Legal Name | PRECISION EYE CARE PROFESSIONALS, PLLC |
| Address |
760 Campbell Ln Suite 120 Bowling Green KY 42104-1085 |
| Phone Number | 2707813937 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1988 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2466512033 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 | 2707813937 | PRECISION EYE CARE PROFESSIONALS, PLLC |
| 760 Campbell Ln, Bowling Green, KY 42104-1085 | 2707813937 | PRECISION EYE CARE PROFESSIONALS, PLLC |
| Organization Legal Name | PRECISION EYE CARE PROFESSIONALS, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam W Baird | Optometry | Precision Eye Care Professionals, Pllc | 2625 Nashville Rd, Suite 101, Bowling Green, KY 42101-4027 |
| Robert B Duvall | Optometry | Precision Eye Care Professionals, Pllc | 2625 Nashville Rd, Suite 101, Bowling Green, KY 42101-4027 |
| Street Address |
760 CAMPBELL LN SUITE 120 |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-1085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Jamie E Wall | Clinical Social Worker | 1830 Destiny Ln, Suite 105, Bowling Green, KY 42104-1088 | |
| Lucille L Mcmichael | Clinical Social Worker | 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1089 | |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | OPTOMETRY |
| City + Specialty | BOWLING GREEN + OPTOMETRY |
Please comment or provide details below to improve the information on Darrell L Tade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.