ALICE HAN OD
NPI 1679100812
Optometrist in Portland, OR

Q: What is Alice Han's NPI number?

The NPI number for Alice Han is 1679100812. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Alice Han'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 Alice Han was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 26, 2020PECOS EnrolledAccepts Medicare Assignment

3600 N INTERSTATE AVE, PORTLAND, OR 97227(800) 813-2000 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Jul 25, 2021, Jul 12, 2021 and 4 more (7 updates tracked since 2020).

On this page

About Alice Han Od NPPES

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

ALICE HAN OD (NPI 1679100812) is an individual optometrist in Portland, Oregon, licensed in Oregon (ATI4519) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2020).

NPPES Registry Identity

NPI1679100812

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALICE HANCredential: OD

Location Address3600 N INTERSTATE AVEPortland, OR 97227-1106

Mailing Address3600 N Interstate Ave, Central Interstate Medical Office OptometryPortland, OR 97227-1106 · (503) 331-5121 · Fax (503) 249-5548

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateFebruary 4, 20227 updates tracked since enumeration

NPPES CertifiedJuly 25, 2021

✔ NPI 1679100812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in OR · ATI4519✔ Licensed in WA · OD61171189✔ Licensed in CA · 34653

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.

3600 N INTERSTATE AVE, Portland, OR 97227

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Secondary Practice Locations 2

Location 13710 SW US Veterans Hospital Rd Bldg 1008C140Portland, OR 97239-2964 · Phone (503) 220-8262

Location 214406 NE 20th AveVancouver, WA 98686-1448 · Phone (800) 813-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Alice Han 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 ID9234531948

PECOS Enrollment IDI20210716001089

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 97227 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 20

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

DAVID WEI KUO LIN M.D.

Otolaryngology

3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227

Multnomah County (503) 331-6085

DR. LYNETTE SANTOS MALIK M.D.

Physical Medicine & Rehabilitation (Sports Medicine)

3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227

Multnomah County (503) 331-3070

DR. RYO A. SHOHARA M.D.

Internal Medicine (Hematology & Oncology)