Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay B Tanner, OD

Individual provider Optometrist · NPI 1528068145

Jay B Tanner, OD is an Optometry in Kingston, Pennsylvania. Graduated from Pennsylvania College of Optometry in 1984, 42 years ago. Practices with Northeast Eye Specialists PC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
42
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

423 3rd Ave Ste E
Kingston, PA 18704-5809
Phone: (570) 288-1974
Fax: (570) 288-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG 000400 (PA)

Record details

NPI number1528068145
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address423 3rd Ave, Suite E, Kingston, PA 18704-5809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1984 (42 years in practice)
Group practice Northeast Eye Specialists Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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