NPIMap

Organization Active NPI

Tarr Optometric, PLLC

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1093040511
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2176 Issued in NC
Legal business name
TARR OPTOMETRIC, PLLC
Practice address
250 Welton Way
Mooresville, NC 28117-8161
Phone
(336) 469-2691
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Jeffrey Reile Bryson Tarr, O.D.
Title
Optometrist/Member-Manager
Phone
(336) 469-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2176 NC Primary

Addresses

Primary practice location

250 Welton Way
Mooresville, NC 28117-8161

Mailing address

250 Welton Way
Mooresville, NC 28117-8161
Phone (336) 469-2691

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1093040511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178161",
            "telephone_number": "336-469-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178161",
            "telephone_number": "336-469-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARR OPTOMETRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "REILE BRYSON",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER-MANAGER",
        "authorized_official_telephone_number": "336-469-2691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.