WILLIAM D. TANKE, OD, PA
NPI 1306133285
Optometrist in West Melbourne, FL
About William D. Tanke, Od, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM D. TANKE, OD, PA (NPI 1306133285) is a healthcare organization registered as an optometrist in West Melbourne, Florida and active in the NPI registry since June 2011. The organization lists William D. Tanke, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William D. Tanke, Od, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to William D. Tanke, Od, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William D. Tanke, Od, PA's NPI number?
The NPI number for William D. Tanke, Od, PA is 1306133285. It was assigned to this organization in the NPPES registry on June 29, 2011.
Where is William D. Tanke, Od, PA located?
William D. Tanke, Od, PA is located at 1813 W New Haven Ave, West Melbourne, FL 32904. The listed phone number is (321) 951-2020.
What is William D. Tanke, Od, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is William D. Tanke, Od, PA enrolled in Medicare?
Yes. William D. Tanke, Od, PA is registered in the Medicare PECOS enrollment system.
When is William D. Tanke, Od, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through William D. Tanke, Od, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to William D. Tanke, Od, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William D. Tanke, Od, PA was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William D. Tanke, Od, Pa · NPI 1306133285
Optometrist organization in West Melbourne, Florida. Organization record, active in the CMS NPPES registry since June 29, 2011.
## Identity
- **NPI:** 1306133285 (Entity type: Organization)
- **Enumerated:** June 29, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** William Tanke, PRESIDENT
## Practice location
- **Address:** 1813 W NEW HAVEN AVE, West Melbourne, FL 32904-3930
- **Phone:** (321) 951-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2011
- **Other identifiers:** Medicare PIN 20091Y; Medicare UPIN T84175; Medicaid 078289100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1306133285) · Data from the CMS NPPES public registry.