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DR. MAN FEI CHAN O.D.
NPI 1104094200
Optometrist in Fairfax, VA

Active since February 12, 2008PECOS Enrolled
11784 L LEE JACKSON HWY, FAIRFAX, VA 22033(703) 591-9377(703) 352-8709 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Man Fei Chan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAN FEI CHAN O.D. (NPI 1104094200) is an individual optometrist in Fairfax, Virginia, licensed in Virginia (0618000812) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104094200
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MAN FEI CHANCredential: O.D.
Location Address11784 L LEE JACKSON HWYFairfax, VA 22033
Mailing Address11784 L Lee Jackson HwyFairfax, VA 22033 · (703) 591-9377 · Fax (703) 352-8709
Phone(703) 591-9377
Fax(703) 352-8709
Sole ProprietorYes
Enumeration DateFebruary 12, 2008
✔ NPI 1104094200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618000812
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11784 L LEE JACKSON HWY, Fairfax, VA 22033
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Other Names 1

Other Name (5)Dr. Fei Chan O.d.

Other Identifiers 1

Medicare UPIN53566VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Man Fei Chan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Man Fei Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tewodros Gedamu, O.D. & Associates, LLC
0.3 mi
Optometrist
11784 LEE JACKSON MEMORIAL HIGHWAY, FAIROAKS MALL LOWER LEVEL
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group
NPI 1114101425 (703) 591-9377

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Man Fei Chan's NPI number?

The NPI number for Man Fei Chan is 1104094200. It was assigned to this individual provider in the NPPES registry on February 12, 2008. The provider is also known as Dr. Fei Chan O.D..

Where is Man Fei Chan located?

Man Fei Chan practices at 11784 L Lee Jackson Hwy, Fairfax, VA 22033. The listed phone number is (703) 591-9377.

What is Man Fei Chan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Man Fei Chan enrolled in Medicare?

Yes. Man Fei Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Man Fei Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Man Fei Chan reassigns Medicare benefits to Tewodros Gedamu, O.D. & Associates, LLC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Man Fei Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Man Fei Chan was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.