Tina Marie McCarty, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2837 Issued in MN

Practice address

1202 Moore Lake Dr E
Fridley, MN 55432-5170

Phone

(763) 574-0075

Fax

(763) 574-0594

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Eye Care Centers, PAGroup PAC ID 3779543962, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Eye Care Centers, P.a.

  • Optometrist
  • Fridley, MN
  • NPI 1548356595
  Medicare reassignment Care Compare group NPD
• Optometric Eye Care Centers, PA

  • Optometrist
  • Maple Grove, MN
  • NPI 1164861357
  NPD
• Optometric Eye Care Centers, PA

  • Optometrist
  • Maplewood, MN
  • NPI 1730203597
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1720046170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 EAST MOORE LAKE DRIVE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-574-0075",
            "fax_number": "763-574-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MOORE LAKE DR E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325170",
            "telephone_number": "763-574-0075",
            "fax_number": "763-574-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "2837",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348012",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293648800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Maus, LICSW
• Amy Kirsten Maynard, RN, MS, CCCRN, CCNS
• Krysta Victoria Mazur, LICSW
• Dienabou Mboup
• Melissa Otilia McCarty, PSYD, LP
• Emily Marie McConnell, DNP
• Shannon E McCutcheon, NP
• Ann F.H. McGinn, M.D.
• Matthew L McGraw, APRN
• Katie McLaughlin, PA-C

• Corneal and Contact Management Optometrist in Fridley, MN
• Providers in Fridley, MN by specialty
• Corneal and Contact Management Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.

Verify at the official NPI Registry.