Active NPI
Tamara L Dunn, O.D.
- Optometrist
- Flint, MI
National Provider Identifier
1881847358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004501
- Practice address
- 3405 S Linden Rd
Flint, MI 48507-3009 - Phone
- (810) 732-4110
- Fax
- (810) 732-7574
- NPI assigned
- Oct 28, 2008
- Last updated
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 4901004501 | MI | Primary |
Addresses
Primary practice location
3405 S Linden Rd
Flint, MI 48507-3009
Mailing address
2814 Cherokee Ave
Flint, MI 48507-1959
Phone (810) 275-3379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900C317780 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Tamara L Balentine
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Lansing, MI
- NPI 1245468511
-
dba Lenscrafters #05578
- Eyewear Supplier
- Midland, MI
- NPI 1053457101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1881847358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 CHEROKEE AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485071959",
"telephone_number": "810-275-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073009",
"telephone_number": "810-732-4110",
"fax_number": "810-732-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "TAMARA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "900C317780",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "BALENTINE",
"middle_name": "L",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.