Active NPI
Joseph Tan, M.D.
- Ophthalmology Physician
- Fraser, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301508600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396978144 | Medicaid | MI |
Other names 1
- Kang Hwa Tan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 93.62
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.03 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD451367 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Vision Eye Care, P.C | Ophthalmology | Current | Accepting new patients |
| Michigan Eye Care Provider PLLC | Ophthalmology | Current | Accepting new patients |
| Progressive Surgical Institute Inc. | Current | Accepting new patients | |
| Solomon C. Luo, MD, PC | Ophthalmology | Current | Accepting new patients |
| Blue Sky Vision Eye Care, PC | Ophthalmology | Current | Accepting new patients |
| Eye Care Providers of Michigan PC | Ophthalmology | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jtan@frasereye.direct.eyemdemr.com
- 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.
-
- Ophthalmology Physician
- Fraser, MI
- NPI 1598151318
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
-
- Ophthalmology Physician
- Pottsville, PA
- NPI 1861435174
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1316675598
-
- Ambulatory Surgical Clinic/Center
- Pottsville, PA
- NPI 1568448660
-
- Ophthalmology Physician
- Port Huron, MI
- NPI 1134254071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.