Active NPI
Tanisha Perlmutter, OD
- Optometrist
- Marion, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003410
- Practice address
- 1020 Terrace Dr Ste 100
Marion, VA 24354-4392 - Phone
- (276) 783-5157
- Fax
- (276) 783-5159
- NPI assigned
- Jun 11, 2024
- Last updated
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003410 | VA | Primary |
Addresses
Primary practice location
1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Mailing address
1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Phone (276) 783-5157
Other practice location 1
699 McBroom St NW Ste A
Abingdon, VA 24210-2590
Phone (276) 628-1143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Phone (276) 783-5157
321 Midway Medical Park
Suite 2
Bristol, TN 37620-1652
Phone (276) 783-5157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Professional Group, PLLC | Current | Accepting new patients |
Locations
321 Midway Medical Park
Ste 2
Bristol, TN 37620
Phone (276) 783-5157
2549 W State St
Bristol, TN 37620
122 Old Gray Station Rd
Ste A
Johnson City, TN 37615
122 Old Gray Station Rd
Johnson City, TN 37615
Phone (276) 783-5157
699 McBroom St NW
Abingdon, VA 24210
Phone (276) 628-1134
699 McBroom St NW
Ste A
Abingdon, VA 24210
Phone (276) 628-1143
1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157
Interoperability endpoints
- tperl@envisioneyeva.emadirect.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1427890284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 TERRACE DR STE 100",
"city": "MARION",
"state": "VA",
"postal_code": "243544392",
"telephone_number": "276-783-5157",
"fax_number": "276-783-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TERRACE DR STE 100",
"city": "MARION",
"state": "VA",
"postal_code": "243544392",
"telephone_number": "276-783-5157",
"fax_number": "276-783-5159"
}
],
"practiceLocations": [
{
"address_1": "699 McBroom St NW Ste A",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242102590",
"country_code": "US",
"telephone_number": "276-628-1143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERLMUTTER",
"first_name": "TANISHA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.