Custom DME
NPI 1255570099ActiveOrganization· Anaplastologist· Bountiful, UT
Anaplastologist in Bountiful, Utah, registered in NPPES in February 2009. The authorized official on file is Paul Benjamin Tanner, CCA, Owner. Enrolled in Medicare as dme supplier - ocularist.
Overview
| NPI | 1255570099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2009 |
| Last updated in NPPES | Sep 18, 2026 |
| Certified by provider | Sep 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anaplastologist Primary | 229N00000X | — | — |
| Technician/Technologist, Ocularist | 156FX1700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Ocularist (UT) |
|---|
Other Anaplastologist providers in Bountiful
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