IndividualActive
Caleb Tennant, O.D.
NPI 1124258009 · Optometrist · Moundsville, WV
Provider details
- NPI number
- 1124258009
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1071 (WV)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
511 5th St
Moundsville, WV 26041-1901
Phone: (304) 845-1560
Fax: (304) 845-6381
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 708
Moundsville, WV 26041-0708
Additional practice locations (1)
- 200 Medical Arts BldgSuite 210Kittanning, PA 16201-7132Phone: (724) 563-2146Fax: (724) 545-9678
Registry dates
- Enumerated
- 2009-07-25
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.