Individual provider Active NPI

Tara Lynn Hardin, OD

  • Optometrist
  • Richardson, TX
National Provider Identifier
1437167459
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06399TG Issued in TX
Practice address
1301 W Campbell Rd
Richardson, TX 75080-2815
Phone
(972) 669-9229
Fax
(972) 644-5444
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06399TG TX Primary

Addresses

Primary practice location

1301 W Campbell Rd
Richardson, TX 75080-2815

Mailing address

1301 W Campbell Rd
Richardson, TX 75080-2815
Phone (972) 669-9229

Other identifiers 1

IdentifierTypeStateIssuer
8R5228OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041230000169 TX Practitioner - Optometry 1658339130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokol Fagala Optometry PLLCGroup PAC ID 5092106815, 3 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1301 W Campbell Rd
Richardson, TX 75080-2815
Phone 9726699229106

3385 Naaman School Rd
Garland, TX 75040-8717
Phone (972) 496-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06399TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokol Fagala Optometry PLLC Optometrist CurrentSince Aug 7, 2024 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 2, 2024 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Carter Optical Inc Past Accepting new patients
Arnold M Stokol OD Optometrist PastSince Aug 25, 2024 Accepting new patients
Harvey L Carter III MD PA PastSince Jan 19, 1994 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

6850 N Shiloh Rd
Garland, TX 75044
Phone (972) 496-4403

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

1138 Belt Line Rd
Ste 230
Garland, TX 75040
Phone (972) 268-7938

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

1301 W Campbell Rd
Richardson, TX 75080
Phone (972) 669-9229

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 9

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1437167459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802815",
            "telephone_number": "972-669-9229",
            "fax_number": "972-644-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802815",
            "telephone_number": "972-669-9229",
            "fax_number": "972-644-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06399TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R5228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.