Individual provider Active NPI

Joseph Tan, M.D.

  • Ophthalmology Physician
  • Fraser, MI
National Provider Identifier
1396978144
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301508600 Issued in MI
Practice address
33080 Utica Rd Ste B
Fraser, MI 48026-2038
Phone
(586) 296-7256
Fax
(586) 296-7256
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD451367 PA
Ophthalmology Physician 207W00000X 4301508600 MI Primary

Addresses

Primary practice location

33080 Utica Rd Ste B
Fraser, MI 48026-2038

Mailing address

33080 Utica Rd Ste B
Fraser, MI 48026-2038
Phone (586) 296-7256

Other identifiers 1

IdentifierTypeStateIssuer
1396978144MedicaidMI

Other names 1

  • Kang Hwa Tan Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtan@frasereye.direct.eyemdemr.com Direct Michigan Eye Care Provider PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140930000164 PA Practitioner - Ophthalmology 6204056013 Reassigns benefits to 1 organization
I20240603004087 MI Practitioner - Ophthalmology 6204056013 Reassigns benefits to 2 organizations
I20260529001476 TX Practitioner - Ophthalmology 6204056013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

Practice addresses (Care Compare)

621 W 11 Mile Rd
Royal Oak, MI 48067-2201
Phone (248) 541-4200

Merit-based Incentive Payment System (MIPS)

Final score
98.29 of 100Reported as group
Quality
93.62
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40
Cost
31.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD451367PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, P.C Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Michigan Eye Care Provider PLLC Ophthalmology CurrentSince Sep 12, 2025 Accepting new patients
Progressive Surgical Institute Inc. Current Accepting new patients
Solomon C. Luo, MD, PC Ophthalmology CurrentSince Jan 31, 2021 Accepting new patients
Blue Sky Vision Eye Care, PC Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Eye Care Providers of Michigan PC Ophthalmology PastSince Sep 21, 2025 Accepting new patients

Locations

19335 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-5580

1922 Monroe St
Dearborn, MI 48124
Phone (313) 274-7540

33080 Utica Rd
Ste B
Fraser, MI 48026
Phone (586) 296-7250

33080 Utica Rd
Fraser, MI 48026
Phone (586) 218-5890

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

1000 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 982-3200

1701 South Blvd E
Ste 180
Rochester Hills, MI 48307
Phone (248) 293-5161

621 W 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 541-4200

4020 Venoy Rd
Ste 600
Wayne, MI 48184
Phone (313) 728-5250

66 Enterprise Blvd
Allenwood, PA 17810
Phone (570) 538-2451

205 Bull Run Xing
#1
Lewisburg, PA 17837
Phone (570) 328-4444

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jtan@frasereye.direct.eyemdemr.com
  • Direct secure messaging: joseph.tan.p1@direct.grophthalmology.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1396978144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD STE B",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7256",
            "fax_number": "586-296-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD STE B",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7256",
            "fax_number": "586-296-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD451367",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301508600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396978144",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtan@frasereye.direct.eyemdemr.com",
            "affiliation": "Y",
            "endpointDescription": "DIRECT Message Address EyeMD",
            "affiliationName": "Michigan Eye Care Provider PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33080 Utica Rd Ste B",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480262038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KANG HWA",
            "last_name": "TAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.