Kristy Lynn Tart-Bryan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1993 Issued in NC

Practice address

316 Village Walk Dr
Holly Springs, NC 27540-7683

Phone

(919) 386-2020

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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 NC

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

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.

• Eyecare Specialties of North Carolina OD PLLC

  • Optometrist
  • Holly Springs, NC
  • NPI 1699483586
  Medicare reassignment NPD
• Risk Optometric Associates, PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1073584157
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1144262940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 OLIVE FIELD DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406216",
            "telephone_number": "919-387-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407683",
            "telephone_number": "919-386-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TART-BRYAN",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904702",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cholada Sutthasri
• Carmel Grace Sweeney, LCSW, PLLC
• Aidan Swift, PT, DPT
• T. Campbell, DMD, PLLC
• Juliet Talavera
• Taylor Nizich Speech Therapy PLLC
• Meredith Duckworth Taylor, DENTIST
• Alison Sires Terry, M.A., CCC-SLP
• The Healing Professionals, LLC
• The Nurtured Nest, Inc

• Optometrist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.