Tarr, Robert Charles

Tarr, Robert Charles is an sole proprietor health care provider with primary practice located at 25982 Pala Ste 270, Mission Viejo CA 92691-2703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tarr, Robert Charles can be contacted via phone (949) 770-5514.

Contact Information

Primary practice address
25982 Pala Ste 270 Mission Viejo CA 92691-2703
Fax: (949) 770-5471
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 5953 TPA California

Profile Details

NPI number 1033112552
LBN Legal business name Tarr, Robert Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033112552 NPPES
California MEDICAID SD0059530

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