Paul Tan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56 007878 Issued in NY

Practice address

14467 26TH Ave
1St FL
Flushing, NY 11354-1326

Phone

(917) 215-0782

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Swift Optometry Care PCGroup PAC ID 9739321670, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Swift Optometry Care PC

  • Optometrist
  • Tolland, CT
  • NPI 1063753887

  NY

  Medicare reassignment Care Compare group NPD
• Eye Care Vision Optometry P.C.

  • Optometrist
  • Staten Island, NY
  • NPI 1851983654
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1003179433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14467 26TH AVE",
            "address_2": "1ST FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541326",
            "telephone_number": "917-215-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14467 26TH AVE",
            "address_2": "1ST FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541326",
            "telephone_number": "917-215-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56 007878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin C Tan, M.D.
• Fengmei Tan
• Isabelle Marie Carolyn Tan
• Janice Y Tan
• Kevin Tan
• Qun Ying Tan, MS. ED.
• Samuel Tan
• Wu Tan, MD
• Xin Tan, M.D.
• Yin Yin Tan, D.M.D

• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.