MEDICARE: DR. BLANE L. TARR O.D.

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	2654	TN

General Provider Information

NPI Number	:	1972529428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BLANE L. TARR O.D.

Provider Business Mailing Address
First Line	:	1002 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-8048
Country	:	US
Telephone Number	:	423-623-2020
Fax Number	:	423-623-3937

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	03/02/2026

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