Dr Darrell L Tade, OD | |
760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 | |
(270) 781-3937 | |
(270) 783-3435 |
Full Name | Dr Darrell L Tade |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 760 Campbell Ln Ste 120, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871645614 | NPI | - | NPPES |
77011427 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1142DT (Kentucky) | Primary |
Provider Name | Precision Eye Care Professionals Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831350164 PECOS PAC ID: 2466512033 Enrollment ID: O20081201000153 |
Mailing Address | Practice Location Address |
---|---|
Dr Darrell L Tade, OD 760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 Ph: (270) 781-3937 | Dr Darrell L Tade, OD 760 Campbell Ln Ste 120, Bowling Green, KY 42104-1085 Ph: (270) 781-3937 |
Dr. Lowell Charles Ware, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 952 Fairview Ave, Bowling Green, KY 42101 Phone: 270-781-2220 Fax: 270-781-2155 | |
Dr. Laura Lee Bowling, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2608 Scottsville Road, Bowling Green, KY 42103 Phone: 270-782-2025 | |
Dr. Trina Rena Warden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104 Phone: 270-796-6021 Fax: 270-796-6072 | |
Allison J Kerr, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1256 Campbell Ln, #106, Bowling Green, KY 42104 Phone: 270-796-6021 | |
Joe C. Tucker, O.d., P.c.s Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1220 Ashley Cir, Bowling Green, KY 42104 Phone: 270-843-3904 Fax: 270-781-4015 | |
Dr. Russell King Heltsley Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 Scottsville Rd, Suite #114, Bowling Green, KY 42104 Phone: 270-846-2500 Fax: 270-846-0608 | |
Barrett Simpson, O.d. Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3200 Ken Bale Blvd, Bowling Green, KY 42103 Phone: 270-793-0958 Fax: 270-781-7933 |