Charles M Tarnoff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000382 Issued in PA

Practice address

120 S 7TH St
Indiana, PA 15701-2739

Phone

(724) 465-6232

Fax

(724) 465-0340

NPI assigned

Feb 20, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1497720965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 7TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012739",
            "telephone_number": "724-465-6232",
            "fax_number": "724-465-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 7TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012739",
            "telephone_number": "724-465-6232",
            "fax_number": "724-465-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNOFF",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005499940011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Indiana, PA
• Providers in Indiana, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.