Jay B Tanner, OD
NPI #1528068145 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1528068145
- Entity Type
- Individual
- Name
- Jay B Tanner, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Apr 29, 2020
Practice Location
- Address
- 423 3RD AVE
- Address 2
- SUITE E
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5809
- Phone
- (570) 288-1974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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