Individual provider Active NPI

Makayla Gabrielle Harr

  • Optometrist
  • Johnson City, TN
National Provider Identifier
1124870803
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3878 Issued in TN
Practice address
2011 N Roan St
Johnson City, TN 37601-3130
Phone
(865) 217-1010
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3878 TN Primary

Addresses

Primary practice location

2011 N Roan St
Johnson City, TN 37601-3130

Mailing address

2011 N Roan St
Johnson City, TN 37601-3130
Phone (865) 217-1010

Other practice location 1

2306 Knob Creek Rd Ste 106
Johnson City, TN 37604-2366
Phone (423) 929-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20240622000020 TN Practitioner - Optometry 3870036544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians
Sunset Eye Care, PCGroup PAC ID 4082846332, 4 clinicians

Practice addresses (Care Compare)

2111 N Roan St
Suite 35
Johnson City, TN 37601-2585
Phone (865) 217-1010

302 Sunset Dr
Suite 109
Johnson City, TN 37604-2408
Phone (423) 282-1742

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3878TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Jun 4, 2024 Accepting new patients
Sunset Eye Care PC Optometrist CurrentSince May 22, 2025 Accepting new patients
Dr Richard a Rosenberg, OD Optometrist PastSince May 22, 2025 Accepting new patients

Locations

554 Pinnacle Pkwy
Ste 701
Bristol, TN 37620
Phone (423) 764-4017

302 Sunset Dr
Ste 109
Johnson City, TN 37604
Phone (423) 282-1742

2111 N Roan St
Ste 35
Johnson City, TN 37601
Phone (423) 282-6631

2011 N Roan St
Johnson City, TN 37601
Phone (423) 282-0016

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1124870803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013130",
            "telephone_number": "865-217-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013130",
            "telephone_number": "865-217-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Knob Creek Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042366",
            "country_code": "US",
            "telephone_number": "423-929-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARR",
        "first_name": "MAKAYLA",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.