SUSANA CHAN OD
NPI 1619002854
Optometrist in East Providence, RI

Q: What is Susana Chan's NPI number?

The NPI number for Susana Chan is 1619002854. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Susana Chan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susana Chan was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment

387 WATERMAN AVE, EAST PROVIDENCE, RI 02914(401) 453-5800(401) 271-6867 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susana Chan Od NPPES

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

SUSANA CHAN OD (NPI 1619002854) is an individual optometrist in East Providence, Rhode Island, licensed in Rhode Island (ODTG00518) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2001).

NPPES Registry Identity

NPI1619002854

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSUSANA CHANCredential: OD

Location Address387 WATERMAN AVEEast Providence, RI 02914-2618

Mailing Address387 Waterman AveEast Providence, RI 02914-2618 · (401) 453-5800 · Fax (401) 271-6867

Phone(401) 453-5800

Fax(401) 271-6867

Sole ProprietorNo

Medical School CMSState University Of New York - State College OptometryGraduated 2001

Enumeration DateFebruary 21, 2007

Last NPPES UpdateJune 10, 2024

NPPES CertifiedJune 10, 2024

✔ NPI 1619002854 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 RI · ODTG00518

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.

387 WATERMAN AVE, East Providence, RI 02914

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Other Identifiers 5

Other23-77354United Healthcare

Other32425RI · Nieghborhood Health Plan

Other414188RI · Blue Cross

Medicaid9082077RI

Other0000032701RI · Brue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susana 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.

PECOS PAC ID3971585712

PECOS Enrollment IDI20070719000330

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 4

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

ALI MOSSAID MD

Internal Medicine

387 WATERMAN AVE
E PROVIDENCE, RI 02914

Providence County (401) 438-2780

SUSANA CHAN, OD, P.C.

Optometrist

387 WATERMAN AVE
EAST PROVIDENCE, RI 02914

Providence County (401) 453-5800

ANTHONY V. ROCHA M.D.

Internal Medicine

387 WATERMAN AVE
EAST PROVIDENCE, RI 02914

Providence County (401) 438-2780

NANCY F MARSHALL RN, MSW, LICSW

Social Worker (Clinical)

387 WATERMAN AVE
EAST PROVIDENCE, RI 02914

Providence County (401) 524-2908

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 Susana Chan's NPI number?

The NPI number for Susana Chan is 1619002854. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Susana Chan located?

Susana Chan practices at 387 Waterman Ave, East Providence, RI 02914. The listed phone number is (401) 453-5800.

What is Susana Chan's specialty?

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

Is Susana Chan enrolled in Medicare?

Yes. Susana 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.

What insurance does Susana Chan accept?

Health plans from Providence Health Plan list Susana 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 Susana Chan was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.