ALEX R TAN (OD) – Optometrist, NPI 1215921655

ALEX R TAN (OD) is a healthcare provider. based in Oak park, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009172 (IL). The NPI Number for ALEX R TAN (OD) is 1215921655

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
ALEX R TAN (OD)
NPI
1215921655
Phone
(708) 383-2150
Address
603 MADISON ST
Enumeration Date
31 August 2005
Last Update Date
6 February 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3129497751
Graduation Year
1999 (27 years ago)
PAC ID
6103967021
Group Practice PAC ID
7416851639
Professional Enrollment ID
I20100113000895
Address ID
IL606163878CH3241XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for ALEX R TAN (OD)

  • Oak Park, Huntsville, Madison County, Alabama, 35801-3609, United States

    OAK PARK, IL 603024437

    Phone: (708) 383-2150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,844.

Total Amount is formed as General ($1,844) + Research ($0) + Ownership ($0) = $1,844.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,556).

Total Amount

$1,844

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,844

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100113000895IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6237$0
92014Established patient complete exam of visual system5252$0
83861Microfluid analysis of tears4412$0
92083Exam of visual field with extended testing2920$0
92250Photography of the retina1711$0
View full utilization report →

Insurance plans in this area (ZIP 60302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416851639View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YOR
O P H T H A L M O L O G YIN
O P T O M E T R YIL
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YNY
O P T O M E T R YIL
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is ALEX R TAN (OD) listed with a National Provider Identifier?
Yes — ALEX R TAN (OD) has NPI 1215921655 on file in the registry.
Is there an active status for ALEX R TAN (OD)?
For scheduling context, ALEX R TAN (OD) is shown as active in the registry.
What area of care is associated with ALEX R TAN (OD)?
ALEX R TAN (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is ALEX R TAN (OD) located near Oak Park?
ALEX R TAN (OD) currently maps to Oak Park, Illinois in this extract.
Can I trust this NPI listing for ALEX R TAN (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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