Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connie Tan, OD

Individual provider Optometrist · NPI 1609227222

Connie Tan, OD is an Optometry in Encinitas, California. Qualified in 2016, 10 years ago. Practices with Carmel Mountain Vision Care Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
10
Licensed in
CA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Phone: (760) 631-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 W 42nd St, New York, NY 10036-8005 — (212) 938-4000

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 33425 (CA)
Optometrist Taxonomy 152W00000X · Licence 08446 (NY)

Record details

NPI number1609227222
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address7637 Heatherly Ln, San Diego, CA 92130-5602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carmel Mountain Vision Care Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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