Lloyd Alton Tantum
Optomitrist - Corneal and Contact Lenses
1732 W Broadway Ave
Maryville
, Tennessee 37801-5510
Lloyd Alton Tantum
Optomitrist - Corneal and Contact Lenses
1732 W Broadway Ave
Maryville
, Tennessee 37801-5510
(865) 982-7402
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Lloyd Alton Tantum
- 702 S Foothills Plaza Dr
- Maryville, TN
- Zip : 37801-2300
- Fax : (865) 982-7402
- Phone : (865) 982-6761
Second Address
- Lloyd Alton Tantum
- 1732 W Broadway Ave
- Maryville, TN
- Zip : 37801-5510
- Phone : (865) 982-6761
Reviews
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Is Lloyd Alton Tantum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | ODT694 | TN |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT-OPT-LIC-823 | MT |
National Provider Identifier
| NPI | 1326007592 |
|---|---|
| Provider Name | Lloyd Alton Tantum |
| First Address | Maryville, TN 37801-2300 |
| Second Address | Maryville, TN 37801-5510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 27/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T61175 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.