Robert Marshall Tharp Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

619 Issued in MS

Practice address

6351 Interstate 55 North
Ste. 115-B
Jackson, MS 39213

Phone

(601) 991-9723

Fax

(601) 991-9745

NPI assigned

Nov 17, 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

Enrolled in MS

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

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Robert Marshall Tharp, Jr, OD, IncGroup PAC ID 2466355391, 2 clinicians

Practice addresses (Care Compare)

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.

• Robert Marshall Tharp, Jr, OD, Inc

  • Optometrist
  • Jackson, MS
  • NPI 1790858538
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881767531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 INTERSTATE 55 NORTH",
            "address_2": "STE. 115-B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-991-9723",
            "fax_number": "601-991-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 INTERSTATE 55 NORTH",
            "address_2": "STE. 115-B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-991-9723",
            "fax_number": "601-991-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "ROBERT",
        "middle_name": "MARSHALL",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880105",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay Barton Thames II
• Reena Thara
• Greggory E Tharp, DMD
• Michelle Tharp, RN, FNP
• Pamela Diane Tharp, O.D.
• The Arc of Mississippi
• The Children'S Clinic, PLLC
• The Clinic of Plastic Surgery, P.a.
• The Counseling Corner, LLC
• The Cutaneous Laser Center

• Optometrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Optometrist in Mississippi

• 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.
• 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.