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

Individual provider Optometrist · NPI 1104132422

Jingyi Tan, OD is an Optometrist in San Diego, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

4353 La Jolla Village Dr Ste H20
San Diego, CA 92122-1259
Phone: (858) 622-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14057 (CA)

Record details

NPI number1104132422
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESAugust 24, 2010

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