Individual provider Active NPI

Sonia Tan, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1427217538
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8818T Issued in TX
Practice address
7845 N Macarthur Blvd
Irving, TX 75063-7516
Phone
(469) 420-9368
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13462T CA
Optometrist 152W00000X 8818T TX Primary

Addresses

Primary practice location

7845 N Macarthur Blvd
Irving, TX 75063-7516

Mailing address

7845 N Macarthur Blvd
Irving, TX 75063-7516
Phone (469) 420-9368

Other practice location 1

1670 Mitchell Rd
Ceres, CA 95307-2145
Phone (209) 538-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13462TCAMDOptometrist
8818TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570838400000",
    "number": "1427217538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637516",
            "telephone_number": "469-420-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637516",
            "telephone_number": "469-420-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Mitchell Rd",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953072145",
            "country_code": "US",
            "telephone_number": "209-538-1968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2019-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13462T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8818T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.