Individual provider Active NPI

Michelle Le Tan, OD

  • Optometrist
  • Purcellville, VA
National Provider Identifier
1225552599
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002586 Issued in VA
Practice address
530 E Main St
Purcellville, VA 20132-3171
Phone
(540) 338-1833
NPI assigned
Jul 28, 2017
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915003103 VA Practitioner - Optometry 6507130457 Reassigns benefits to 1 organization

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
Dilzer Eye Care Associates, P.C.Group PAC ID 6709907454, 3 clinicians

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

LicenseStateTypeSpecialty
0618002586VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dilzer Eye Care Associates, P.C. Optometrist CurrentSince Feb 23, 2026 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.

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

Verify at the official NPI Registry.