Stuart R Tasman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000921 Issued in GA

Practice address

1545 Powers Ferry Rd SE Ste 240
Marietta, GA 30067-9401

Phone

(770) 952-6412

Fax

(678) 369-7212

NPI assigned

Jul 12, 2006

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wildwood Eye Care LLCGroup PAC ID 5890839138, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wildwood Eye Care LLC

  • Optometrist
  • Marietta, GA
  • NPI 1396073862
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Myeyedr. Optometry of Georgia, LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1104299270
  NPD
• Wildwood Eye Care LLC

  • Optometrist
  • Dawsonville, GA
  • NPI 1609768464
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1073548426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WOOTEN LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441350",
            "telephone_number": "770-424-8101",
            "fax_number": "770-874-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE STE 240",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679401",
            "telephone_number": "770-952-6412",
            "fax_number": "678-369-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASMAN",
        "first_name": "STUART",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000215773A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haaroon Tariq, MD
• Marvin D Tark, MD
• Natalie Tarpley, ATC, LAT, OTC
• Marianne Taryla, MD
• Bella Chandrashekhar Tase, OTR
• Ashenafi Tassew, MD
• Deandre Javius Tate-Drummer, MD
• Julie Taube, M.S., R.D.
• Mason Tavakoli, DC
• Morvarid Tavassoli, MD

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.