Janice Y Tan

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009213 Issued in NY

Practice address

3808 Union St # 3M-L
Flushing, NY 11354-5543

Phone

(929) 666-5048

Fax

(929) 666-5049

NPI assigned

Jun 4, 2020

Sex

Female

Sole proprietor

No

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyevista Optometry of 86 LLCGroup PAC ID 9739328253, 2 clinicians

Practice addresses (Care Compare)

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.

• Eyevista Optometry of 86, LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1376988253
  Medicare reassignment Care Compare group NPD
• Bright Vision Family Eyecare Inc

  • Optometrist
  • Flushing, NY
  • NPI 1518614197
  Medicare reassignment NPD
• MD Optics LLC

  • Exclusive Provider Organization
  • Sunnyside, NY
  • NPI 1386090413
  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1053935064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 UNION ST # 3M-L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545543",
            "telephone_number": "929-666-5048",
            "fax_number": "929-666-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST # 3M-L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545543",
            "telephone_number": "929-666-5048",
            "fax_number": "929-666-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JANICE",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rania Tamimi
• Bryan Tan
• Edwin C Tan, M.D.
• Fengmei Tan
• Isabelle Marie Carolyn Tan
• Kevin Tan
• Paul Tan, O.D.
• Qun Ying Tan, MS. ED.
• Samuel Tan
• Wu Tan, MD

• 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 Jan 22, 2024; 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.