NPI 1104906759
Tamara Smith Old, O.D.
Optometrist · Sparks, NV
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 3:05 am EDT
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Tamara Smith Old, O.D. is a health care provider (Optometrist) in Sparks, Nevada with National Provider Identifier (NPI) 1104906759. The NPI was issued on Oct 17, 2006 and the registry record was last updated on Oct 5, 2023. The registry lists a license in Nevada.
Registry record
- NPI
- 1104906759
- Type
- Individual (NPI-1)
- Primary specialty
- Optometrist 152W00000X
- Practice location
- 4874 Sparks Blvd
Sparks, NV 89436-8206 - Phone
- (775) 358-1317
- NPI issued
- Oct 17, 2006
- Registry record updated
- Oct 5, 2023
- Other names
- Tamara Lynn Smith (former name)
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Optometrist Primary | 152W00000X | Nevada | 415 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Optometrist providers in Nevada
- Rod Alan Murray, O.D.Las Vegas, NV
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.