Active NPI
Michelle Le Tan, OD
- Optometrist
- Purcellville, VA
National Provider Identifier
1225552599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002586
- Practice address
- 530 E Main St
Purcellville, VA 20132-3171 - Phone
- (540) 338-1833
- NPI assigned
- Jul 28, 2017
- Last updated
- Jan 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002586 | VA | Primary |
Addresses
Primary practice location
530 E Main St
Purcellville, VA 20132-3171
Mailing address
12256 Parkstream Ter
Herndon, VA 20170-2533
Phone (571) 201-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 E Main St
Purcellville, VA 20132-3171
Phone (540) 338-1833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002586 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dilzer Eye Care Associates, P.C. | Optometrist | Current | Accepting new patients |
| FS Optometry LLC | Past | Accepting new patients |
Locations
530 E Main St
Purcellville, VA 20132
Phone (540) 338-1833
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Purcellville, VA
- NPI 1871615542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1225552599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12256 PARKSTREAM TER",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702533",
"telephone_number": "571-201-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E MAIN ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323171",
"telephone_number": "540-338-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "MICHELLE",
"middle_name": "LE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.