Darrell L Tade in Bowling Green - Optometrist
Darrell L Tade - NPI 1871645614
Darrell L Tade is a Optometrist in Bowling Green, Kentucky. Darrell L Tade practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Darrell L Tade is 1871645614. The last update date is 2014-02-03.
Darrell L Tade's current location address is 760 Campbell Ln Ste 120, Bowling Green, Kentucky. You can contact this provider via phone number 2707813937 and fax number 2707833435. The mailing address for Darrell L Tade is 760 Campbell Ln Ste 120, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell L Tade |
|---|---|
| Address | 760 Campbell Ln Ste 120, Bowling Green, Kentucky |
| Phone Number | 2707813937 |
| Fax Number | 2707833435 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1871645614 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 760 Campbell Ln Ste 120 |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421041085 |
| Phone Number | 2707813937 |
| Fax Number | 2707833435 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1142DT |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77011427 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Darrell L Tade by the Centers for Medicare & Medicaid Services (CMS)?
The Darrell L Tade has been assigned the NPI (National Provider Identifier) 1871645614. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Darrell L Tade?
The Darrell L Tade is physically situated at 760 Campbell Ln Ste 120, in the city of Bowling Green, state of KY, with the postal code 421041085.
What is the area of specialization for Darrell L Tade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Darrell L Tade is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did the Darrell L Tade receive its 1871645614?
The Darrell L Tade was issued its 1871645614 on 2007-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Darrell L Tade last refreshed?
The information related to the Darrell L Tade, including its address, specialty, and other relevant details, was last updated on 2014-02-03.