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William Robert Tanner, OD

NPI 1104080993ActiveIndividual· Optometrist· Prescott Valley, AZ

Optometrist (OD) in Prescott Valley, Arizona, licensed in AZ, with an NPI issued in July 2008. Part D covered 11 prescriptions written in 2024.

Overview

NPI1104080993
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedJul 11, 2008
Last updated in NPPESJul 31, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1959AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)11 · 12 30-day fills
Total drug cost$208.52

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Prescott Valley

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