DR. WILLIAM TANTUM (NPI# 1316350291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316350291 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM TANTUM |
| Credential | O.D. |
| Practice Address |
1732 W Broadway Ave Maryville TN 37801-5510 |
| Practice Telephone | 8659826761 |
| Practice Fax Number | 8659827402 |
| Mailing Telephone | 8659826761 |
| Mailing Fax Number | 8659827402 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3174 | TN | Eye and Vision Services Providers |
| Street Address |
1732 W BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007592 | Lloyd Alton Tantum | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2006-03-17 |
| 1275907222 | Foothills Adult Care Enrichment Services | Day Training, Developmentally Disabled Services | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2015-11-13 |
| 1326422130 | Cassandra Bruno | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2015-07-13 |
| 1699961631 | Blount County Eye Center, Pllc | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1942585005 | Chantel Lashaun Galipeau | Optometrist | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 | 2011-10-19 |
| 1285860437 | Billingsley Eye Care Corporation | Optometrist | 845 Turner St, Maryville, TN 37801-3595 | 2009-06-02 |
| 1932348828 | Stephen K Sutton | Optometrist | 105 Lucy Ln, Maryville, TN 37803-8875 | 2009-02-17 |
| 1063651388 | Dr Michael T Kolarik Od | Optometrist | 286 Cherokee Professional Park, Maryville, TN 37804-5153 | 2009-02-10 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1366510513 | Janet T. Parker | Optometrist | 1735 W Broadway Ave, Maryville, TN 37801-5509 | 2006-12-04 |
| 1790877975 | Gary L Vines | Optometrist | 333 E Harper Ave, Maryville, TN 37804-5724 | 2006-09-28 |
| 1851483036 | Clinton L Maples | Optometrist | 901 W Lamar Alexander Pkwy, Maryville, TN 37801 | 2006-09-28 |
| 1043248735 | Karin Rodriguez Moore | Optometrist | 2410 Us Highway 411 S, Maryville, TN 37801-8629 | 2006-06-29 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.