DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRACE TAN, O.D.

Active Sole Proprietor

DR. GRACE TAN, O.D. is a Optometrist healthcare provider located in NORTHPORT, New York. NPI 1770776197 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NORTHPORT, NY

Registration Details

NPI Number
1770776197
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2007 (18.954447830561 yrs)
Last Updated
Jul 5, 2016
License
NY TUV 7209 (NY)
Sole Proprietor
Yes

Practice Information

Address
834 FORT SALONGA RD STE D
NORTHPORT, NY, 117683157
Browse NY providers · Browse ZIP 11768
Phone
6317574440
Fax
6317574593
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in NORTHPORT, NY

Name Credential NPI
DR. LYNN ANNE FINNEGAN O.D. 1679579189
DR. MICHAEL TANENBAUM O.D. 1376510503
DR. DANIEL B LEVY OD 1851355507
DR. ARLENE L VAZQUEZ YOUNG O.D. 1508932179
DR. RICHARD E YOUNG O.D. 1619043601
DR. ELLVIN JOHN MAR O.D. 1790965101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.