Individual provider Active NPI

Bruce Tanner

  • Optometrist
  • Woodland Park, CO
National Provider Identifier
1508437906
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3683 Issued in CO
Practice address
101C Sundial Dr Ste C
Woodland Park, CO 80863-9095
Phone
(719) 687-3937
Fax
(719) 687-9308
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3683 CO Primary

Addresses

Primary practice location

101C Sundial Dr Ste C
Woodland Park, CO 80863-9095

Mailing address

101C Sundial Dr Ste C
Woodland Park, CO 80863-9095
Phone (719) 687-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20210824001976 CO Practitioner - Optometry 7113322546 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 C Sundial Dr
Suite C
Woodland Park, CO 80863-9095
Phone (719) 687-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3683COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak View Optometry Peterson, PLLC Optometrist CurrentSince Sep 18, 2023 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 3, 2023 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 3, 2023 Accepting new patients
Tanner Vision Services PLLC Optometrist CurrentSince Apr 15, 2024 Accepting new patients
Eye Care Center of Colorado Springs Optometrist CurrentSince Jul 16, 2021 Accepting new patients
Cummings Vision Care PC Optometrist CurrentSince Sep 5, 2023 Accepting new patients

Locations

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

110 S Weber St
Colorado Springs, CO 80903
Phone (719) 576-5844

1030 E Stewart Ave
Bldg 20
Colorado Springs, CO 80914
Phone (719) 574-5252

7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020

6110 Martinez St
Ft Carson, CO 80913
Phone (719) 368-2446

1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252

101 Sundial Dr
Ste C
Woodland Park, CO 80863
Phone (719) 687-3344

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1508437906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101C SUNDIAL DR STE C",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639095",
            "telephone_number": "719-687-3937",
            "fax_number": "719-687-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101C SUNDIAL DR STE C",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639095",
            "telephone_number": "719-687-3937",
            "fax_number": "719-687-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "BRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.