Robert Charles Tarr, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 5953 TPA Issued in CA

Practice address

25982 Pala
Ste 270
Mission Viejo, CA 92691-2703

Phone

(949) 770-5514

Fax

(949) 770-5471

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033112552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22952 VIA MIRAMAR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772751",
            "telephone_number": "949-487-9169",
            "fax_number": "949-487-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912703",
            "telephone_number": "949-770-5514",
            "fax_number": "949-770-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5953 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0059530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Nicole Taylor, LPCC
• Elaine Frances Taylor

• Optometrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.