TANNER ALLEN WELLS (OD) – Optometrist, NPI 1255229084

TANNER ALLEN WELLS (OD) is a healthcare provider. based in Barbourville, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2438DT (KY). The NPI Number for TANNER ALLEN WELLS (OD) is 1255229084

Main info

Male
1 Year Of Experience
Name
TANNER ALLEN WELLS (OD)
NPI
1255229084
Phone
(606) 546-4060
Address
215 N ALLISON AVE
Enumeration Date
27 June 2025
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
7719481316
Professional Enrollment ID
I20250917002150
Address ID
KY409061336BA215XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for TANNER ALLEN WELLS (OD)

  • 215 N ALLISON AVE

    BARBOURVILLE, KY 409061336

    Phone: (606) 546-4060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250917002150IOptometryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40906)

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Reviews

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Frequently asked questions

What number should I use to identify TANNER ALLEN WELLS (OD) for billing?
Administrative and clinical systems typically use NPI 1255229084 for TANNER ALLEN WELLS (OD).
Should I treat TANNER ALLEN WELLS (OD) as an active provider?
Patients and plans typically see TANNER ALLEN WELLS (OD) as active in the national extract.
What services align with TANNER ALLEN WELLS (OD)'s listing?
TANNER ALLEN WELLS (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TANNER ALLEN WELLS (OD)?
TANNER ALLEN WELLS (OD) is associated with Barbourville, Kentucky in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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