Organization Active NPI

Tasman Eye Consultants PC

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1043349368
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA0921 Issued in GA
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

Updated by the provider on Feb 14, 2013

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.