Tanner Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2816 Issued in CO

Legal business name

TANNER VISION PC

Practice address

114 14TH St SW
Loveland, CO 80537-6341

Phone

(970) 587-3937

Fax

(970) 622-0648

NPI assigned

Feb 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin A Tanner, OD

Title

Owner/President

Phone

(970) 587-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tanner Vision PC

  • Optometrist
  • Loveland, CO
  • NPI 1659005387

  O20110315000523

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amman James Starr, O.D.

  • Optometrist
  • Loveland, CO
  • NPI 1649450529
  NPD
• Marc A Provencher, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1184794745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1144526401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 14TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376341",
            "telephone_number": "970-587-3937",
            "fax_number": "970-622-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 14TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376341",
            "telephone_number": "970-587-3937",
            "fax_number": "970-622-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 S Timberline Rd Unit 120",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805256023",
            "country_code": "US",
            "telephone_number": "970-282-8888",
            "fax_number": "970-282-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TANNER VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-587-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144526401",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• T Castellano MD LLC
• Taft Hill Orthodontics of Loveland
• Amy McCracken Takken, RN
• John Peyton Taliaferro, MD
• Griffin David Tanenbaum, PA-C
• Tanner Vision PC
• Kevin A Tanner, O.D.
• Louis Tartaglia Jr., MD
• Yvette Elizabeth Tataje, D.D.S.
• Taylor Wynkoop Counseling

• Optometrist in Loveland, CO
• Providers in Loveland, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.