Carolina Eye Doctors OD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2409 Issued in NC

Legal business name

CAROLINA EYE DOCTORS OD PLLC

Practice address

4350 Main St Ste 107
Harrisburg, NC 28075-7439

Phone

(305) 282-0561

NPI assigned

Oct 5, 2017

Last updated

Jan 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chantel Nicole Garcia Tarbett, ODNPI 1952666406

Title

Optometrist

Phone

(704) 322-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chantel Nicole Garcia Tarbett, OD

  • Corneal and Contact Management Optometrist
  • Harrisburg, NC
  • NPI 1952666406
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Reynolds, OD

  • Optometrist
  • Harrisburg, NC
  • NPI 1396489308
  Medicare reassignment Care Compare group NPD
• Marissa Joan Ferris, OD

  • Optometrist
  • Mint Hill, NC
  • NPI 1740858257
  Medicare reassignment NPD
• Aaron Keith Tarbett, OD

  • Optometrist
  • Salisbury, NC
  • NPI 1093801565
  Medicare reassignment NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1710497698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MAIN ST STE 107",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MAIN ST STE 107",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757439",
            "telephone_number": "305-282-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE DOCTORS OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA TARBETT",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-322-3600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Brown, LCSWA
• Taylor Marie Brown
• Cabarrus Memorial Hospital (Northeast Psychiatric &Psychological Institute)
• Carillon Assisted Living of Harrisburg
• Glenda Carlton, PHARMD
• Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Harrisburg)
• Carolinas Medical Center-Northeast (NorthEast Psychiatric Services - Harrisburg)
• Carolinas Medical Center-Northeast (Ardsley Internal Medicine-Harrisburg)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)

• Clinic/Center in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.