Steven Matthew Ming-Hao Tan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61330317 Issued in WA

Practice address

24008 Snohomish Woodinville Rd
Woodinville, WA 98072-9743

Phone

(425) 806-7704

Fax

(425) 806-7730

NPI assigned

Aug 18, 2022

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Washington Eye Clinic PLLC

  dba Washington Valley Eye & Laser Center

  • Ophthalmology Physician
  • Renton, WA
  • NPI 1972559458
  Medicare reassignment NPD
• Central Washington Eye Clinic PLLC

  dba Washington Valley Eye Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Renton, WA
  • NPI 1801409677
  NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1689392342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24008 WOODINVILLE SNOHOMISH RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729743",
            "telephone_number": "425-806-7704",
            "fax_number": "425-806-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24008 SNOHOMISH WOODINVILLE RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729743",
            "telephone_number": "425-806-7704",
            "fax_number": "425-806-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "STEVEN",
        "middle_name": "MATTHEW MING-HAO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35201TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61330317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Swanson
• Erica Dawn Swedberg
• Marci Sweet, LICSW, MSW
• Teresa Ann Talley, MA, LMHC
• Ka Weng Tam, L.AC.
• Simon T Tang, PHARM D
• Charyle Rae Tasanasanta, L.M.P. /MASSAGE THER
• Shielisse Te, RN
• Tessa Love LCSW, PLLC
• The Camelot Society (Camelot Society)

• Optometrist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.