IndividualActive
Jeremy Tan, M.D.
NPI 1124387626 · Ophthalmic Plastic and Reconstructive Surgery Physician · Oklahoma City, OK
Provider details
- NPI number
- 1124387626
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29985 (OK)
Practice location
608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone: (405) 271-6060
Fax: (405) 271-3013
Mailing address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2020-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.