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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSANNA S. TAN OD
NPI 1548187909
Optometrist in Roseville, CA

Active since July 06, 2026PECOS Enrolled
9221 SIERRA COLLEGE BLVD STE 130, ROSEVILLE, CA 95661(916) 797-6747(916) 797-6747 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 20, 2026, Jul 6, 2026 (2 updates tracked since 2026).

About Susanna S. Tan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNA S. TAN OD (NPI 1548187909) is an individual optometrist in Roseville, California, licensed in California (36343) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548187909
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSUSANNA S. TANCredential: OD
Location Address9221 SIERRA COLLEGE BLVD STE 130Roseville, CA 95661-5934
Mailing Address9221 Sierra College Blvd Ste 130Roseville, CA 95661-5934 · (916) 797-6747 · Fax (916) 797-6747
Phone(916) 797-6747
Fax(916) 797-6747
Sole ProprietorYes
Enumeration DateJuly 6, 2026
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1548187909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 36343
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9221 SIERRA COLLEGE BLVD STE 130, Roseville, CA 95661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susanna S. Tan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRAN GILL OD
Optometrist
9221 SIERRA COLLEGE BLVD STE 130
ROSEVILLE, CA 95661
Placer County (916) 797-6747
ALYSSA AKIMI MATSUO OD
Optometrist
9221 SIERRA COLLEGE BLVD STE 130
ROSEVILLE, CA 95661
Placer County (916) 797-6747
DR. RALPH SIMON BAKER O.D.
Optometrist
9221 SIERRA COLLEGE BLVD STE 130
ROSEVILLE, CA 95661
Placer County (916) 797-6747
RANDALL F FUERST O.D.
Optometrist
9221 SIERRA COLLEGE BLVD STE 130
ROSEVILLE, CA 95661
Placer County (916) 797-6747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susanna Tan's NPI number?

The NPI number for Susanna Tan is 1548187909. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Susanna Tan located?

Susanna Tan practices at 9221 Sierra College Blvd Ste 130, Roseville, CA 95661. The listed phone number is (916) 797-6747.

What is Susanna Tan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Susanna Tan enrolled in Medicare?

Yes. Susanna Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susanna Tan was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.