| Doctor Name: | DR. WILLIAM ROBERT TANNER |
| NPI Number: | 1104080993 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 3972T679 |
| Business Practice Address: | 231 Bluebell Dr Nw New Philadelphia, OH - 44663 |
| Business Phone Number: | 3303396016 |
| Business Fax Number: | 3303396434 |
| Mailing Address: | 2419 Baird Ave Ne, PARIS |
| State: | OH |
| Postal Code: | 446699656 |
| Phone Number: | 3308622241 |
| Fax Number: | 3303396434 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 07/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 3972T679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |