JACQUELYN CHAN OD
NPI 1467338046
Optometrist in Conroe, TX
About Jacquelyn Chan Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN CHAN OD (NPI 1467338046) is an individual optometrist in Conroe, Texas, licensed in Texas (11510TG) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jacquelyn Chan Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelyn Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conroe, TX 77304
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
The Woodlands, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
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 77304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelyn Chan's NPI number?
The NPI number for Jacquelyn Chan is 1467338046. It was assigned to this individual provider in the NPPES registry on August 12, 2025.
Where is Jacquelyn Chan located?
Jacquelyn Chan practices at 1329 W Davis St, Conroe, TX 77304. The listed phone number is (936) 441-3937.
What is Jacquelyn Chan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacquelyn Chan enrolled in Medicare?
Yes. Jacquelyn 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 organizations bill Medicare for Jacquelyn Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Chan reassigns Medicare benefits to 2 organizations: First Texas Optometric PC (Conroe, TX) and Second Texas Optometric PC (The Woodlands, TX). Each 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 Jacquelyn Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Chan accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jacquelyn 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 Jacquelyn Chan was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Jacquelyn Chan, OD · NPI 1467338046
Optometrist provider in Conroe, Texas. Individual provider, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1467338046 (Entity type: Individual)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11510TG (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1329 W DAVIS ST, Conroe, TX 77304-2309
- **Phone:** (936) 441-3937 · **Fax:** (936) 441-3943
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): First Texas Optometric PC (NPI 1235854746, Conroe, TX); Second Texas Optometric PC (NPI 1043935562, The Woodlands, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 2025
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467338046) · Data from the CMS NPPES public registry.