JEREMY F TAN M.D. NPI 1124387626

NPI Information

  • NPI: 1124387626
  • Provider Name: JEREMY F TAN, M.D.
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 608 STANTON L YOUNG BLVD
    OKLAHOMA CITY, OK
    ZIP 73104
  • Phone: (405) 271-6060

Map and Directions

Get Directions

NPI Details

Jeremy F Tan, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Oklahoma City, OK with 14 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Jeremy F Tan, M.D. NPI is 1124387626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6060
Fax: (405) 271-3013

The NPI 1124387626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of content of eyes (HCPCS:92285)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Probing of nasal tear duct (HCPCS:68840)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of growth of eyelid (HCPCS:67840)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Repair of brow paralysis (HCPCS:67900)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t (HCPCS:G2010)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Reconstruction of conjunctiva with graft from outer eye or rearrangement (HCPCS:68326)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/4/2012 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology29985OKLAHOMANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery29985OKLAHOMAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramMT201060PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200504570BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.