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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

Active since July 06, 2026
404 BLUE RAVINE RD, FOLSOM, CA 95630(916) 983-9985 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 Folsom, California, licensed in California (36343) and active in the NPI registry since July 2026. She maintains a secondary practice location in El Dorado Hills.

NPPES Registry Identity

NPI1548187909
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSUSANNA S. TANCredential: OD
Location Address404 BLUE RAVINE RDFolsom, CA 95630-3822
Mailing Address404 Blue Ravine RdFolsom, CA 95630-3822 · (916) 983-9985
Phone(916) 983-9985
Sole ProprietorYes
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 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.
404 BLUE RAVINE RD, Folsom, CA 95630
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Secondary Practice Location 1

Location 14364 Town Center Blvd Ste 118El Dorado Hills, CA 95762-7181 · Phone (916) 618-4364

Other Providers at the Same Location NPPES 2

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

ANDERSON LAO OD
Optometrist
404 BLUE RAVINE RD
FOLSOM, CA 95630
Sacramento County (916) 983-9985
VISIONCARE OF CALIFORNIA INC.
Optometrist
404 BLUE RAVINE RD
FOLSOM, CA 95630
Sacramento County (916) 983-9985

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 404 Blue Ravine Rd, Folsom, CA 95630. The listed phone number is (916) 983-9985.

What is Susanna Tan's specialty?

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

When was this NPI record last updated?

The NPPES record for Susanna Tan was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.