Provider Demographics
NPI:1518375260
Name:YERKES, TARA E (OD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:E
Last Name:YERKES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:E
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5301 LIMESTONE RD
Mailing Address - Street 2:SUITE 128
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1250
Mailing Address - Country:US
Mailing Address - Phone:302-239-1933
Mailing Address - Fax:
Practice Address - Street 1:472 E MAIN ST
Practice Address - Street 2:SUITE 472-474
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1462
Practice Address - Country:US
Practice Address - Phone:302-239-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI4-0000073152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist