DR. MICHELLE LE TAN (OD) – Optometrist, NPI 1225552599
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,055 OPTOMETRY in VA
Provider Addresses for DR. MICHELLE LE TAN (OD)
44075 PIPELINE PLZ STE 205
ASHBURN, VA 201475890
Phone: (703) 724-9948
Type: Location
12256 PARKSTREAM TER
HERNDON, VA 201702533
Phone: (571) 201-1159
Type: Mailing
530 E MAIN ST
PURCELLVILLE, VA 201323171
Phone: (540) 338-1833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $960.
Total Amount is formed as General ($960) + Research ($0) + Ownership ($0) = $960.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($228).
Total Amount
$960
General + Research + Ownership
Payments
31
Total payment records
General Amount
$960
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tarsus Pharmaceuticals, Inc. | $228 |
| Alcon Vision LLC | $179 |
| Johnson & Johnson Vision Care, Inc. | $155 |
| Bausch & Lomb Americas Inc. | $150 |
| CooperVision Inc. | $94 |
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: 2017-09-15
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170915003103 | I | Optometry | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | MD |
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