Starr, Tara
Starr, Tara is an sole proprietor health care provider with primary practice located at 2900 Telegraph Ave , Berkeley CA 94705-2018. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Starr, Tara can be contacted via phone (510) 843-4613.Contact Information
Primary practice address
2900 Telegraph Ave
Berkeley CA 94705-2018
Phone: (510) 843-4613
Fax: (510) 843-4652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | G85398 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G85398 | California |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | G85398 | California |
Profile Details
| NPI number | 1124150065 |
|---|---|
| LBN Legal business name | Starr, Tara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124150065 | NPPES |
| California | MEDICAID | 00G853980 |
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