Active NPI
Larry A Tallent, O.D.
- Optometrist
- Anderson, SC
National Provider Identifier
1801817820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 527
- Practice address
- 1655 E Greenville St
Anderson, SC 29621-2062 - Phone
- (864) 224-6375
- Fax
- (864) 716-7738
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- 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 | 527 | SC | Primary |
Addresses
Primary practice location
1655 E Greenville St
Anderson, SC 29621-2062
Mailing address
PO Box 1226
Anderson, SC 29622-1226
Phone (864) 224-6375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05279 | Medicaid | SC |
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 |
|---|---|---|---|
| 527 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Eye & Ear Associates, P.a. | Optometrist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801817820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1226",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296221226",
"telephone_number": "864-224-6375",
"fax_number": "864-716-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212062",
"telephone_number": "864-224-6375",
"fax_number": "864-716-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLENT",
"first_name": "LARRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D05279",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.