CONNIE TAN O.D.
NPI 1609227222
Optometrist in Encinitas, CA

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
477 N EL CAMINO REAL STE C202, ENCINITAS, CA 92024(760) 631-3500 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2020, Jul 8, 2020, Jun 24, 2016 (3 updates tracked since 2016).

About Connie Tan O.d. NPPES

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

CONNIE TAN O.D. (NPI 1609227222) is an individual optometrist in Encinitas, California, licensed in California (33425) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609227222
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCONNIE TANCredential: O.D.
Location Address477 N EL CAMINO REAL STE C202Encinitas, CA 92024-1332
Mailing Address7637 Heatherly LnSan Diego, CA 92130-5602 · (909) 569-3780
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 15, 20203 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
NPI 1609227222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CA · 33425 Licensed in NY · 08446
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.

477 N EL CAMINO REAL STE C202, Encinitas, CA 92024

Secondary Practice Location 1

Location 133 W 42nd StNew York, NY 10036-8005 · Phone (212) 938-4000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connie Tan O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294022406
PECOS Enrollment IDI20200721000553
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services89 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
80 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services49 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
23 services22 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
20 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost72.08

Other Providers at the Same Location NPPES 11

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

Optometrist (Corneal and Contact Management)
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology (Glaucoma Specialist)
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology (Cornea and External Diseases Specialist)
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024

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 Connie Tan's NPI number?

The NPI number for Connie Tan is 1609227222. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Connie Tan located?

Connie Tan practices at 477 N El Camino Real Ste C202, Encinitas, CA 92024. The listed phone number is (760) 631-3500.

What is Connie Tan's specialty?

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

Is Connie Tan enrolled in Medicare?

Yes. Connie Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Connie Tan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Connie Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connie Tan was last updated on July 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.