MEDICARE: NEWPORT FAMILY EYECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1184199515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWPORT FAMILY EYECARE

Provider Business Mailing Address
First Line	:	PO BOX 761
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37822-0761
Country	:	US
Telephone Number	:	865-720-9393
Fax Number	:	423-523-9500

Provider Business Practice Location Address
First Line	:	1002 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-8048
Country	:	US
Telephone Number	:	423-720-9393
Fax Number	:	423-523-9500

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	BLANE TARR
Credential	:	OD
Telephone Number	:	423-720-9393

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	03/02/2026

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Directions to “NEWPORT FAMILY EYECARE ” Practice Location

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