DONNETA MCCANDLESS (NPI# 1679563357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679563357 |
| Entity Type | Individual |
| Full Name | DONNETA MCCANDLESS |
| Credential | OPTICIAN |
| Practice Address |
1403 Andrea St Bowling Green KY 42104-3335 |
| Mailing Address |
108 Bravo Blvd Glasgow KY 42141-3478 |
| Practice Telephone | 2706512181 |
| Practice Fax Number | 2706512183 |
| Mailing Telephone | 2706512181 |
| Mailing Fax Number | 2706512183 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1016 | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | OPTICIAN LICENSE | 1016 | 01 |
| Street Address |
1403 ANDREA ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189570 | William Allan Price | Optometrist | 1403 Andrea St, Bowling Green, KY 42104-3335 | 2005-10-25 |
| 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 | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952472904 | Smith Optical Company | Technician/Technologist | 730 Fairview Avenue, Suite B1a, Bowling Green, KY 42101-2367 | 2006-11-13 |
| 1366527996 | Wal-mart Stores East, Lp | Technician/Technologist | 1201 Morgantown Rd, Bowling Green, KY 42101-9202 | 2006-10-25 |
| 1164512687 | Wal-mart Stores East, Lp | Technician/Technologist | 150 Walton Ave, Bowling Green, KY 42104-6361 | 2006-10-13 |
| 1215027214 | Sam's Club Optical | Technician/Technologist | 3200 Ken Bale Blvd, Bowling Green, KY 42103-6025 | 2006-10-13 |
| 1992716039 | Wal-mart Stores East, Lp | Technician/Technologist | 1120 S Main St, Bowling Green, OH 43402-4733 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1598229098 | Lisa Nicholas | Technician/Technologist | 1707 Cumberland Falls Hwy Ste U4, Corbin, KY 40701-2744 | 2019-01-29 |
| 1376011494 | Brian D Blevins | Technician/Technologist | 30 Highland Meadows Cir Ste 11, Highland Heights, KY 41076-1788 | 2018-11-06 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1932568235 | Wal-mart Stores East, Lp | Technician/Technologist | 6501 Veterens Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-02-15 |
| 1740614866 | Christopher Michael Boston I | Technician/Technologist | 7951 Hopeful Church Rd, Florence, KY 41042-7922 | 2013-08-26 |
| 1003157199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4993-4995 Houston Road, Florence, KY 41042 | 2013-03-14 |
| 1982955274 | Mel Len Dukes | Technician/Technologist | 110 W Everly Brothers Blvd Ste G, Central City, KY 42330-2708 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on DONNETA MCCANDLESS.
| 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.