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DR. JACKIE WAI KIT CHAN O.D.
NPI 1366672925
Optometrist in Brooklyn, NY

Active since July 17, 2009PECOS EnrolledAccepts Medicare Assignment
1883 86TH ST, 1ST FLOOR, BROOKLYN, NY 11214(718) 256-2020(718) 256-2027 Get Directions Write a Review

NPPES record last updated: September 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jackie Wai Kit Chan O.d. NPPES

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

DR. JACKIE WAI KIT CHAN O.D. (NPI 1366672925) is an individual optometrist in Brooklyn, New York, licensed in New York (TUV007407-1) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2009).

NPPES Registry Identity

NPI1366672925
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACKIE WAI KIT CHANCredential: O.D.
Location Address1883 86TH ST, 1ST FLOORBrooklyn, NY 11214-3108
Mailing Address1883 86th St, 1st FloorBrooklyn, NY 11214-3108 · (718) 256-2020 · Fax (718) 256-2027
Phone(718) 256-2020
Fax(718) 256-2027
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2009
Enumeration DateJuly 17, 2009
Last NPPES UpdateSeptember 8, 2013
✔ NPI 1366672925 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 NY · TUV007407-1
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.
1883 86TH ST, Brooklyn, NY 11214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jackie Wai Kit Chan O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668528621
PECOS Enrollment IDI20110125000068
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 Jackie Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyevista Optometry Of 86, LLC
Same address
Optometrist
1883 86TH ST
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1376988253 (718) 256-2020

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services28 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
17 services11 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
16 services14 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11214 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEVISTA OPTOMETRY OF 86, LLC
Optometrist
1883 86TH ST
BROOKLYN, NY 11214
Kings County (718) 256-2020

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 Jackie Chan's NPI number?

The NPI number for Jackie Chan is 1366672925. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Jackie Chan located?

Jackie Chan practices at 1883 86th St 1st Floor, Brooklyn, NY 11214. The listed phone number is (718) 256-2020.

What is Jackie Chan's specialty?

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

Is Jackie Chan enrolled in Medicare?

Yes. Jackie Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jackie Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Chan reassigns Medicare benefits to Eyevista Optometry Of 86, LLC (Brooklyn, NY). 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 Jackie Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Chan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jackie Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Chan was last updated on September 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.