Tara Grimm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5032 Issued in MA

Practice address

231 Belmont St
Belmont, MA 02478-3607

Phone

(617) 484-1414

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By 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

Other names 1

• Tara Roche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1205245008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783607",
            "telephone_number": "617-484-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783607",
            "telephone_number": "617-484-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ROCHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David O Greenleaf, PH.D.
• Allison Gregg
• Leslie Gregory
• David J Grelotti, M.D.
• Diane Lee Grimaldi, R.N., M.S., C.S.
• Veronica Lynn Groom, MSW
• Anthony M Grossi I
• Paul Grossman
• Zachary Grunau, MD
• Nate Gruner

• Optometrist in Belmont, MA
• Providers in Belmont, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.