DR. KATY TAN OD
NPI 1720648611
Optometrist in Everett, WA

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
10101 19TH AVE SE STE B, EVERETT, WA 98208(425) 338-5400 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2023, Jun 13, 2019 (2 updates tracked since 2019).

About Dr. Katy Tan Od NPPES

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

DR. KATY TAN OD (NPI 1720648611) is an individual optometrist in Everett, Washington, licensed in Washington (OD.OD.61397190) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2019).

NPPES Registry Identity

NPI1720648611
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATY TANCredential: OD
Location Address10101 19TH AVE SE STE BEverett, WA 98208-4255
Mailing Address16550 Ne 79th St Apt 203Redmond, WA 98052-2474 · (808) 276-8710
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1720648611 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 WA · OD.OD.61397190
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.
10101 19TH AVE SE STE B, Everett, WA 98208

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

Dr. Katy Tan Od 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 ID9234565581
PECOS Enrollment IDI20230405001764
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

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 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.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 3

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

Optometrist
10101 19TH AVE SE STE B
EVERETT, WA 98208
Optometrist
10101 19TH AVE SE STE B
EVERETT, WA 98208
Optometrist
10101 19TH AVE SE STE B
EVERETT, WA 98208

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 Katy Tan's NPI number?

The NPI number for Katy Tan is 1720648611. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Katy Tan located?

Katy Tan practices at 10101 19th Ave SE Ste B, Everett, WA 98208. The listed phone number is (425) 338-5400.

What is Katy Tan's specialty?

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

Is Katy Tan enrolled in Medicare?

Yes. Katy 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 Katy 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, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Katy 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 Katy Tan was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.