Stephanie D Tanck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

05737TG Issued in TX

Practice address

6435 S FM 549 Ste 100
Heath, TX 75032-6221

Phone

(972) 722-7055

Fax

(972) 722-2688

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie D Nance Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carter Optical Inc

  • Eyewear Supplier
  • Dallas, TX
  • NPI 1619985538
  NPD (past)
• Harvey L Carter III MD PA

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1023021284
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1497763411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017727",
            "telephone_number": "903-455-0220",
            "fax_number": "903-455-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 S FM 549 STE 100",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326221",
            "telephone_number": "972-722-7055",
            "fax_number": "972-722-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCK",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05737TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151712002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NANCE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory M Sonnen, MD
• Richard W. Spletter, MSSW
• Lori Stelzer, M.S.
• Whitney Tabor, PA-C
• Melvis Kimbeng Tambi
• The Bailey Dental Group, PLLC
• Mallori S Thompson, LPC-A
• Shelby Tolentino
• Manuel Toscano, LCSW
• Total Health and Wellness PLLC

• Optometrist in Heath, TX
• Providers in Heath, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.