JACQUELINE PAN O.D
NPI 1679127872
Optometrist in Honolulu, HI

Active since July 26, 2019PECOS EnrolledAccepts Medicare Assignment
4725 BOUGAINVILLE DR, HONOLULU, HI 96818(808) 312-3878 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Jul 26, 2019 (2 updates tracked since 2019).

About Jacqueline Pan O.d NPPES

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

JACQUELINE PAN O.D (NPI 1679127872) is an individual optometrist in Honolulu, Hawaii, licensed in Hawaii (OD-1043) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2019).

NPPES Registry Identity

NPI1679127872
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELINE PANCredential: O.D
Location Address4725 BOUGAINVILLE DRHonolulu, HI 96818-3179
Mailing Address4725 Bougainville DrHonolulu, HI 96818-3179 · (808) 312-3878
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2019
Enumeration DateJuly 26, 2019
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1679127872 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 HI · OD-1043 Licensed in PA · OEG003595
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.
4725 BOUGAINVILLE DR, Honolulu, HI 96818

Accepted 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

Jacqueline Pan 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 ID446588008
PECOS Enrollment IDI20241105003785
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 96818 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 7

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

Optometrist
4725 BOUGAINVILLE DR
HONOLULU, HI 96818
General Acute Care Hospital
4725 BOUGAINVILLE DR
HONOLULU, HI 96818
Family Medicine
4725 BOUGAINVILLE DR, PMB528
HONOLULU, HI 96818
Clinic/Center (Mental Health (Including Community Mental Health Center))
4725 BOUGAINVILLE DR, #351
HONOLULU, HI 96818
Social Worker
4725 BOUGAINVILLE DR, PMB: 401
HONOLULU, HI 96818
Clinic/Center (Urgent Care)
4725 BOUGAINVILLE DR
HONOLULU, HI 96818
Optometrist
4725 BOUGAINVILLE DR
HONOLULU, HI 96818

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 Jacqueline Pan's NPI number?

The NPI number for Jacqueline Pan is 1679127872. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Jacqueline Pan located?

Jacqueline Pan practices at 4725 Bougainville Dr, Honolulu, HI 96818. The listed phone number is (808) 312-3878.

What is Jacqueline Pan's specialty?

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

Is Jacqueline Pan enrolled in Medicare?

Yes. Jacqueline Pan 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 Jacqueline Pan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HMSA list Jacqueline Pan 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 Jacqueline Pan was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.