Organization Active NPI

Vision Wellness, PLLC

  • Optometrist
  • Maryville, TN
National Provider Identifier
1932004314
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION WELLNESS, PLLC
Practice address
742 Watkins Rd
Maryville, TN 37801-4643
Phone
(865) 850-4855
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Dr. Will Tantum, OD
Title
Owner
Phone
(406) 475-0419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

742 Watkins Rd
Maryville, TN 37801-4643

Mailing address

111 Fowler Dr
Maryville, TN 37803-3414

National Provider Directory

National Provider Directory

Locations

742 Watkins Rd
Maryville, TN 37801

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1932004314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOWLER DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378033414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 WATKINS RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014643",
            "telephone_number": "865-850-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "TANTUM",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-475-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.