Phillip Carl Tart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1127 Issued in NC

Practice address

13520 NC Highway 50
Surf City, NC 28445-6554

Phone

(910) 803-0555

Fax

(910) 338-3160

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

Yes

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.

• Primary Vision Care Center, O.D., P.a.

  • Optometrist
  • Surf City, NC
  • NPI 1497964787

  NC, Optometrist

  Medicare reassignment NPD Authorized official
• Gateway Vision Care, OD, PA

  • Optometrist
  • Surf City, NC
  • NPI 1164177838
  NPD Authorized official

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NC

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2014.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1962698274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284450027",
            "telephone_number": "910-803-0555",
            "fax_number": "910-338-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 NC HIGHWAY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456554",
            "telephone_number": "910-803-0555",
            "fax_number": "910-338-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TART",
        "first_name": "PHILLIP",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIRME",
            "identifier": "P00206448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Shores Primary Care, PLLC
• Tina Marie Stanley, R.T.
• Still Waters Therapy PLLC
• Danielle D Sullivan, LMFTA
• Surf City Urgent Care and Family Medicine PLLC
• Danielle Feck Theberge, WHNP
• Time 2 Learn Inc
• Trudy Mary Cook LCSW PC
• Michelle Ottey Urban, PHARMD, RPH
• Valjoy Beach Care, P.a.

• All providers in Surf City, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.