Whalio Doctors

NPI 1104080993

William Robert Tanner, OD

Practitioner Optometrist Prescott Valley, AZ

Practice location

Address
3450 N Glassford Hill Rd, Prescott Valley, AZ 86314
Phone
(928) 499-3152
Fax
(928) 775-6292
Mailing address
3450 N Glassford Hill Rd, Prescott Valley, AZ 86314-1351

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1959 (AZ)

Registry record

NPI
1104080993
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2008
Record last updated
31 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.