Tamara Jade Granner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5228 Issued in MA

Practice address

50 Burlington Mall Rd
Suite 101
Burlington, MA 01803

Phone

(781) 505-1995

Fax

(781) 505-1998

NPI assigned

Jul 7, 2017

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Cataract Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • Burlington, MA
  • NPI 1740736784
  NPD (past)
• The Lasik Vision Institute LLC

  • Optometrist
  • Burlington, MA
  • NPI 1255473021
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1811419237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BURLINGTON MALL RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-505-1995",
            "fax_number": "781-505-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BURLINGTON MALL RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-505-1995",
            "fax_number": "781-505-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Market St",
            "address_purpose": "LOCATION",
            "city": "Lynnfield",
            "state": "MA",
            "postal_code": "019404049",
            "country_code": "US",
            "telephone_number": "781-334-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANNER",
        "first_name": "TAMARA",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Moran Graceffo, NP
• Gracious Home Adult Day Health Care Center, LLC (Gracious Home ADHC of Burlington)
• Elizabeth Graef, D.O.
• Melanie Anne Graf
• Leanne Graham
• Howard R. Grant, M.D.
• Mario S Grasso, M.D.
• Anthony W. Gray Jr., M.D.
• Christine Rita Gray, N.P.
• Mary Ellen Gray, PA

• Optometrist in Burlington, MA
• Providers in Burlington, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.