Active NPI
Caleb Kai-Hay Tan, OD
- Optometrist
- Tucson, AZ
National Provider Identifier
1891495883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2677
- Practice address
- 7204 E Broadway Blvd
Tucson, AZ 85710-1407 - Phone
- (520) 416-7476
- NPI assigned
- Mar 8, 2023
- Last updated
- Mar 8, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2677 | AZ | Primary |
Addresses
Primary practice location
7204 E Broadway Blvd
Tucson, AZ 85710-1407
Mailing address
6795 E Calle la Paz Unit 11201
Tucson, AZ 85715-9043
Phone (510) 209-6209
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2677 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
7204 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 416-7476
Organizations & group practices 1
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": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1891495883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6795 E CALLE LA PAZ UNIT 11201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857159043",
"telephone_number": "510-209-6209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7204 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101407",
"telephone_number": "520-416-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "CALEB",
"middle_name": "KAI-HAY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.