Active NPI
Tasman Eye Consultants PC
- Optometrist
- Kennesaw, GA
National Provider Identifier
1043349368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- GA0921
- Legal business name
- TASMAN EYE CONSULTANTS PC
- Practice address
- 1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1336 - Phone
- (770) 792-3937
- Fax
- (770) 427-9826
- NPI assigned
- Mar 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stuart R Tasman, OD
- Title
- Owner
- Phone
- (770) 792-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | GA0921 | GA | Primary |
Addresses
Primary practice location
1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1336
Mailing address
1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1336
Phone (770) 792-3937
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1043349368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 WOOTEN LAKE RD NW",
"address_2": "SUITE 100",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441336",
"telephone_number": "770-792-3937",
"fax_number": "770-427-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 WOOTEN LAKE RD NW",
"address_2": "SUITE 100",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441336",
"telephone_number": "770-792-3937",
"fax_number": "770-427-9826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TASMAN EYE CONSULTANTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "TASMAN",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-792-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "GA0921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.