IndividualActive
Tai Chan, O.D.
NPI 1508908872 · Corneal and Contact Management Optometrist · Waupun, WI
Provider details
- NPI number
- 1508908872
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1529 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 W Lincoln St
Waupun, WI 53963-1949
Phone: (920) 324-5577
Street-level locationGet directions
Mailing address
408 Madison St
Beaver Dam, WI 53916-2531
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.