| William D. Tanke, Od, Pa | |
|
1813 W New Haven Ave, West Melbourne, FL 32904-3930 | |
| (321) 951-2020 | |
| Not Available |
| Full Name | William D. Tanke, Od, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1813 W New Haven Ave, West Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306133285 | NPI | - | NPPES |
| 078289100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC001868 (Florida) | Primary |
| Provider Name | William D Tanke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982608220 PECOS PAC ID: 0648245845 Enrollment ID: I20040831001210 |
| Provider Name | Camilla J Dunn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700824208 PECOS PAC ID: 1759570369 Enrollment ID: I20110113000438 |
| Provider Name | Jacqueline E Zermeno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023324795 PECOS PAC ID: 0941480826 Enrollment ID: I20140910002582 |
| Provider Name | Dan Nhi Vu Cromer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861748899 PECOS PAC ID: 5799938916 Enrollment ID: I20150423002161 |
| Mailing Address | Practice Location Address |
|---|---|
| William D. Tanke, Od, Pa 2652 Glasbern Cir, West Melbourne, FL 32904-8075 Ph: (321) 412-3487 | William D. Tanke, Od, Pa 1813 W New Haven Ave, West Melbourne, FL 32904-3930 Ph: (321) 951-2020 |
Diana Catalina Hernandez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 964 S Wickham Rd Ste 1, West Melbourne, FL 32904 Phone: 321-339-2211 Fax: 321-339-1183 | |
Eyecare Plus Optometrist Medicare: Medicare Enrolled Practice Location: 1573 South Wickham Road, West Melbourne, FL 32904 Phone: 321-723-8115 Fax: 321-723-7388 | |
Treasured Eyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 964 S Wickham Rd Ste 1, West Melbourne, FL 32904 Phone: 321-339-2211 Fax: 321-339-1183 | |
Dr. Cortez Ramon Lewis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1573 S Wickham Rd, West Melbourne, FL 32904 Phone: 321-220-0394 Fax: 239-232-8881 | |
Dr. Andreanos Jordanopoulos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1573 South Wickham Road, West Melbourne, FL 32904 Phone: 321-723-8115 Fax: 321-723-7388 | |
Samuel Winn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-951-2220 Fax: 321-722-4754 |