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

Paul Benjamin Tanner, MBA, CCA

Individual provider Ocularist · NPI 1760607428

Paul Benjamin Tanner, MBA, CCA is an Ocularist in Bountiful, Utah. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Practice location Address checks out

1455 S 500 W Ste D
Bountiful, UT 84010-8252
Phone: (801) 997-0545
Fax: (888) 977-5399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anaplastologist (primary) Taxonomy 229N00000X
Ocularist Taxonomy 156FX1700X
Prosthetist Taxonomy 224P00000X
Medical Art Specialist/Technologist Taxonomy 246ZA2600X

Record details

NPI number1760607428
Entity typeIndividual (Type 1)
GenderMale
Credentials MBA , CCA
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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