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Contact Information

WILLIAM R TANNER, OD
3450 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ86314
 Phone: 928-499-3152
 Fax: 928-775-6292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WILLIAM R TANNER · (Male)

NPI Number 1104080993
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/11/2008
Last updated 07/31/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1959
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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