NPI 1982608220

William Dodds Tanke, OD

Practitioner Optometrist West Melbourne, FL

Practice location

Address: 1813 West New Haven Avenue, West Melbourne, FL 32904-3930
Phone: (321) 951-2220
Fax: (321) 722-4754
Mailing address: PO Box 120160, West Melbourne, FL 32912-0160

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC 1868 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1982608220
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 22 Dec 2014

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.