Pcd Management of Paducah, LLC
NPI 1659998524ActiveOrganization· Optometrist· Paducah, KY
Optometrist in Paducah, Kentucky, registered in NPPES in June 2020. The authorized official on file is Caleb Tanck, Credentialing Agent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659998524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2020 |
| Last updated in NPPES | Oct 22, 2025 |
| Certified by provider | Oct 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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