Active NPI
Dara Auyeung, OD
- Optometrist
- Mountain Home, TN
National Provider Identifier
1477926830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15447
- Practice address
- Eye Clinic 112E
Mountain Home, TN 37684-4000 - Phone
- (423) 923-1171
- Fax
- (423) 979-3530
- NPI assigned
- Nov 7, 2015
- Last updated
- Feb 17, 2016
- 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 | 15447 | CA | Primary |
Addresses
Primary practice location
Eye Clinic 112E
Mountain Home, TN 37684-4000
Mailing address
PO Box 4000
Eye Clinic 112E
Mountain Home, TN 37684-4000
Phone (423) 923-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3267 | TN | MD | Chiropractor |
| 15447 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
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": "1446854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1477926830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4000",
"address_2": "EYE CLINIC 112E",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376844000",
"telephone_number": "423-923-1171",
"fax_number": "423-979-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EYE CLINIC 112E",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376844000",
"telephone_number": "423-923-1171",
"fax_number": "423-979-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUYEUNG",
"first_name": "DARA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-07",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.