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John R Tanner Od PLLC

NPI 1437582152ActiveOrganization· Optometrist· Peoria, AZ

Optometrist in Peoria, Arizona, registered in NPPES in August 2013. The authorized official on file is John R. Tanner, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1437582152
StatusActive
Entity typeOrganization
NPI issuedAug 16, 2013
Last updated in NPPESAug 16, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1935AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AZ)

Medicare sources and data years

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