William D. Tanke, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001868 Issued in FL

Legal business name

WILLIAM D. TANKE, OD, PA

Practice address

1813 W New Haven Ave
West Melbourne, FL 32904-3930

Phone

(321) 951-2020

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William D. Tanke, O.D.NPI 1982608220

Title

President

Phone

(321) 412-3487

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• William Dodds Tanke, O.D.

  • Optometrist
  • West Melbourne, FL
  • NPI 1982608220
  Medicare reassignment NPD Authorized official
• Dan Nhi Vu Cromer, O.D.

  • Optometrist
  • Melbourne, FL
  • NPI 1861748899
  Medicare reassignment NPD
• Camilla Jaye Dunn, O.D.

  • Optometrist
  • Sebastian, FL
  • NPI 1700824208
  Medicare reassignment NPD
• Jacqueline Eliza Zermeno, OD

  • Optometrist
  • Melbourne, FL
  • NPI 1023324795
  Medicare reassignment NPD

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1306133285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 GLASBERN CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048075",
            "telephone_number": "321-412-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043930",
            "telephone_number": "321-951-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. TANKE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "TANKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-412-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078289100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Weissman, PHD, RD, LDN
• Lisa Whitmore
• Nicole Wiggins, NP
• Wildflower Behavioral Consulting, LLC.
• Nicole Marie Wilkinson, DPT
• Ashley Nicole Williams, APRN, FNP-C
• Yanna Wills, APRN
• Samuel Winn, OD
• Wisconsin Lutheran Child & Family Service
• Jennifer Leah Woodall

• Optometrist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.