Tara Donovan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1688 Issued in GA

Practice address

310 Fischer Rd
Sharpsburg, GA 30277-2084

Phone

(770) 304-8613

NPI assigned

May 24, 2007

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tara Donovan OD PC

  • Optometrist
  • Sharpsburg, GA
  • NPI 1154000933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1083825772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FISCHER RD",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772084",
            "telephone_number": "770-304-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FISCHER RD",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772084",
            "telephone_number": "770-304-8613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302535969",
            "country_code": "US",
            "telephone_number": "770-914-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliakim Isiah Pallasigue Deguzman, DMD
• Candice Dela Cruz, PT
• Hilda W Dickerson, RDLD
• Nichole Marie Dinwiddie, FNP
• Discovery Counseling and Assessment Center, LLC
• Ashley Janae Douglass, RPH
• Sara Oliver Dupree, L.P.C.
• Debra Dwight, ED.D.
• Mable Earl, LPC
• Julie Renee Evans, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.