DR. STEPHANIE SARA CHAN O.D.
NPI 1700042249
Optometrist in San Jose, CA

Q: What is Stephanie Chan's NPI number?

The NPI number for Stephanie Chan is 1700042249. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Stephanie 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 Stephanie Chan was last updated on April 13, 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 August 04, 2008PECOS EnrolledAccepts Medicare Assignment

2110 FOREST AVE STE B, SAN JOSE, CA 95128(408) 295-3433 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Stephanie Sara Chan O.d. NPPES

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

DR. STEPHANIE SARA CHAN O.D. (NPI 1700042249) is an individual optometrist in San Jose, California, licensed in California (13587TLG) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Globe, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700042249

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. STEPHANIE SARA CHANCredential: O.D.

Location Address2110 FOREST AVE STE BSan Jose, CA 95128-1469

Mailing Address2110 Forest Ave Ste BSan Jose, CA 95128-1469 · (408) 295-3433

Phone(408) 295-3433

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 4, 2008

Last NPPES UpdateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1700042249 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 CA · 13587TLG✔ Licensed in AZ · 1956

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.

2110 FOREST AVE STE B, San Jose, CA 95128

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Secondary Practice Location 1

Location 1520 S Hill St, CGlobe, AZ 85501-2291 · Phone (602) 955-1000 · Fax (602) 508-4843

Accepted Insurance

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

Dr. Stephanie Sara 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 ID7214063817

PECOS Enrollment IDI20100505000842

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

DR. ANJIE ANGELA ZHENG OD

Optometrist

2110 FOREST AVE STE B
SAN JOSE, CA 95128

Santa Clara County (408) 295-3433

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 Stephanie Chan's NPI number?

The NPI number for Stephanie Chan is 1700042249. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Stephanie Chan located?

Stephanie Chan practices at 2110 Forest Ave Ste B, San Jose, CA 95128. The listed phone number is (408) 295-3433.

What is Stephanie Chan's specialty?

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

Is Stephanie Chan enrolled in Medicare?

Yes. Stephanie 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 Stephanie Chan 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, Imperial Insurance Companies, Inc. and Providence Health Plan list Stephanie 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 Stephanie Chan was last updated on April 13, 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.