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

Individual provider Optometrist · NPI 1770776197

Dr. Grace Tan, OD is an Optometry in Northport, New York. Graduated from State University of New York - State College Optometry in 2007, 19 years ago. Practices with Tan and Mar Optometry, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2007
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

834 Fort Salonga Rd Ste D
Northport, NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence NY TUV 7209 (NY)

Record details

NPI number1770776197
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 20, 2007
Last updated in NPPESJuly 5, 2016
Mailing address834 Fort Salonga Rd Ste D, Northport, NY 11768-3157

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2007 (19 years in practice)
Group practice Tan And Mar Optometry — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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