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

Individual provider Optometrist · NPI 1295187805

Noah Tannen, OD is an Optometry in Philadelphia, Pennsylvania. Graduated from State University of New York - State College Optometry in 2016, 10 years ago. Practices with Eyecare Professionals PC, a 3-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
State University of New York - State College Optometry
Licensed in
PA
In the registry since
2016
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

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone: (215) 276-6173
Fax: (215) 276-1329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG003179 (PA)

Record details

NPI number1295187805
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESJuly 7, 2016

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 2016 (10 years in practice)
Group practice Eyecare Professionals P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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