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Deactivated NPI 1912902966 Deactivated / Inactive NPI Male Practitioner

Dr. Dallas Robert Carr , OD

Optometrist • Olympia, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dallas Carr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005
NPI Deactivation Date July 31, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Dallas Carr, OD was a registered Optometrist practicing in Olympia, WA. Throughout an active medical career spanning 14 years, Dr. Carr provided care at the practice location at 1510 COOPER POINT RD SW until profile deactivation on 2019-07-31.

Historical Medicare Part B clinical services included photography of the retina, established patient complete exam of visual system, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1510 Cooper Point Rd Sw
Suite 110

Olympia, WA 985025734

Telephone 3604890493
Fax 3609439424
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1104831171

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
41 Specialists

Practicing in Olympia, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
56 53 $103.04 $51.80
92014 Established patient complete exam of visual system
46 45 $145.00 $120.66
92083 Exam of visual field with extended testing
26 24 $95.00 $61.53
92082 Exam of visual field with intermediate testing
20 20 $95.00 $41.30
99213 Established patient office or other outpatient visit, typically 15 minutes
15 12 $108.67 $69.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $155.00 $101.89

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD00001152TX

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1114903937

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2019

Record deactivated on July 31, 2019

NPI Profile Active April 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 05, 2010

Registered at 1510 COOPER POINT RD SW, SUITE 110, OLYMPIA, WA 985025734 (Tel: 3604890493)

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Updated Business Mailing Address April 05, 2010

Registered at 1510 COOPER POINT RD SW, SUITE 110, OLYMPIA, WA 985025734 (Tel: 3604890493)

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Provider Name / Credentials Updated April 05, 2010

Recorded as DALLAS CARR, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2010

Optometrist (License #OD00001152TX in WA)

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Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912902966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: April 05, 2010
Deactivation Date: July 31, 2019

Mailing Address

1510 Cooper Point Rd Sw, Suite 110

Olympia, WA 985025734

Phone: 3604890493

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.