DR. CARL WATSON TATE (O.D.) – Optometrist, NPI 1467567149

DR. CARL WATSON TATE (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5664 (OH). The NPI Number for DR. CARL WATSON TATE (O.D.) is 1467567149

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARL WATSON TATE (O.D.)
NPI
1467567149
Phone
Not provided
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
20 August 2006
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9417393067
Graduation Year
2004 (22 years ago)
PAC ID
0143251330
Group Practice PAC ID
7517409543
Professional Enrollment ID
I20050827000032
Address ID
FL342071429BR4555XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. CARL WATSON TATE (O.D.)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone:

    Type: Mailing

  • 4521 17TH AVE

    COLUMBUS, GA 319046344

    Phone: (706) 660-0191

    Fax: (706) 596-8388

    Type: Location

  • 109, 12th Street, Columbus, Muscogee County, Georgia, 31901, United States

    COLUMBUS, GA 319015245

    Phone: (706) 322-5528

    Fax: (706) 322-6559

    Type: Location

  • Springlake Drive, Hillbrook Estates, Columbus, Muscogee County, Georgia, 31909, United States

    COLUMBUS, GA 319093298

    Phone: (404) 834-4900

    Fax: (706) 322-6559

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050827000032IOptometryFLTBD
I20140521002461IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517409543View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is DR. CARL WATSON TATE (O.D.)'s NPI number?
DR. CARL WATSON TATE (O.D.)'s NPI is 1467567149 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. CARL WATSON TATE (O.D.)?
You should see DR. CARL WATSON TATE (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. CARL WATSON TATE (O.D.)?
At a glance, DR. CARL WATSON TATE (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CARL WATSON TATE (O.D.) located near Vienna?
DR. CARL WATSON TATE (O.D.) currently maps to Vienna, Virginia in this extract.
When was this NPI issued?
Enumeration for DR. CARL WATSON TATE (O.D.) is noted as August 20, 2006 where the registry provides it.

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