IndividualActive
Irene Tan, OD
NPI 1740893304 · Optometrist · Sierra Vista, AZ
Provider details
- NPI number
- 1740893304
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 34656 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
101 N Coronado Dr Ste a
Sierra Vista, AZ 85635-6359
Phone: (520) 459-1529
Street-level locationGet directions
Mailing address
1205 S Sierra Vista Ave # B
Alhambra, CA 91801-5104
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.