Individual provider Active NPI

Amanda Jean Tarr

  • Optometrist
  • Concord, NH
National Provider Identifier
1962400697
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0738 Issued in NH
Practice address
270 Loudon Rd
Suite 1170
Concord, NH 03301-8005
Phone
(603) 223-9606
Fax
(603) 717-7106
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0738 NH Primary

Addresses

Primary practice location

270 Loudon Rd
Suite 1170
Concord, NH 03301-8005

Mailing address

270 Loudon Rd
Suite 1170
Concord, NH 03301-8005
Phone (603) 223-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20151105000681 NH Practitioner - Optometry 4284663311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Dr Anthony Fusco
6 March Avenue
Manchester, NH 03103-4012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12741CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Anthony Fusco & Associates Optometrist Past Accepting new patients
Steeplegate Eye Care, PLLC PastSince Jan 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1962400697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LOUDON RD",
            "address_2": "SUITE 1170",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018005",
            "telephone_number": "603-223-9606",
            "fax_number": "603-717-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LOUDON RD",
            "address_2": "SUITE 1170",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018005",
            "telephone_number": "603-223-9606",
            "fax_number": "603-717-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.