Lloyd Alton Tantum, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

ODT694 Issued in TN

Practice address

1732 W Broadway Ave
Maryville, TN 37801-5510

Phone

(865) 982-6761

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blount County Eye Center, PLLC

  • Corneal and Contact Management Optometrist
  • Maryville, TN
  • NPI 1699961631
  Medicare reassignment NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1326007592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S FOOTHILLS PLAZA DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012300",
            "telephone_number": "865-982-6761",
            "fax_number": "865-982-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015510",
            "telephone_number": "865-982-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTUM",
        "first_name": "LLOYD",
        "middle_name": "ALTON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MT",
            "license": "OPT-OPT-LIC-823",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "ODT694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Charles Talbott, LADAC, LMSW, MAC
• Savannah S Tallent, FNP-C
• Katherine Jeanne Talmont, RDMS, RT(R)(CT)
• Hiediliza Y Tan, M.D.
• Amy Tankersley
• William Tantum, O.D.
• Carmen Diez Tapiador, M.D.
• Andrew Tawfilis
• Madison B Taylor
• Candice Teague

• Corneal and Contact Management Optometrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Corneal and Contact Management Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.