Dr Tai Chi Shan, MD - Optometrist in Gaithersburg, MD

Dr Tai Chi Shan, MD is a Optometrist - Pediatrics based in Gaithersburg, Maryland. Dr Tai Chi Shan is licensed to practice in Maryland (license number D45187) and his current practice location is 501 North Frederick Avenue, Gaithersburg, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 258-7203.

NPI number for Dr Tai Chi Shan is 1518025410 and his current mailing address is 2201 East Jefferson Street, Ppqa Medicare Compliance Unit 6, Rockville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518025410.

Contact Information

Dr Tai Chi Shan, MD
501 North Frederick Avenue,
Gaithersburg, MD 20877-2598
(301) 258-7203
(301) 258-7294

Map and Direction




Healthcare Provider's Profile

Full NameDr Tai Chi Shan
GenderMale
SpecialityOptometrist - Pediatrics
Location501 North Frederick Avenue, Gaithersburg, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518025410
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Tai Chi Shan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518025410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WP0200XOptometrist - Pediatrics D45187 (Maryland)Primary
152WP0200XOptometrist - Pediatrics 0101042637 (Virginia)Secondary
152WP0200XOptometrist - Pediatrics MD17409 (District Of Columbia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tai Chi Shan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tai Chi Shan, MD
2201 East Jefferson Street, Ppqa Medicare Compliance Unit 6,
Rockville, MD 20852-4908

Ph: (301) 816-6660
Dr Tai Chi Shan, MD
501 North Frederick Avenue,
Gaithersburg, MD 20877-2598

Ph: (301) 258-7203

Reviews and Comments


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