Organization Active NPI

Larry Tarrant O.D.

  • Optometrist
  • Terrell, TX
National Provider Identifier
1114185089
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LARRY TARRANT O.D.
Practice address
1900 W Moore Ave
Suite 200
Terrell, TX 75160-2346
Phone
(972) 551-2000
Fax
(972) 551-2011
NPI assigned
May 28, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Larry D Tarrant, O.D.
Title
Owner
Phone
(972) 551-2000

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

104 W US Highway 80
Ste 100
Forney, TX 75126

4116 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (972) 264-7200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1900 W Moore Ave
Suite 200
Terrell, TX 75160-2346

Mailing address

104 W US Highway 80
Suite 100
Forney, TX 75126
Phone (972) 551-2000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
163659901MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2008.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1114185089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W US HIGHWAY 80",
            "address_2": "SUITE 100",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-551-2000",
            "fax_number": "972-551-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W MOORE AVE",
            "address_2": "SUITE 200",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602346",
            "telephone_number": "972-551-2000",
            "fax_number": "972-551-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY TARRANT O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "TARRANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-551-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163659901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.