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DR. ALFRED JAN O.D.
NPI 1790837722
Optometrist in San Jose, CA

Active since January 18, 2007PECOS Enrolled
5755 COTTLE RD, SAN JOSE, CA 95123(408) 972-3279(408) 972-3592 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alfred Jan O.d. NPPES

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

DR. ALFRED JAN O.D. (NPI 1790837722) is an individual optometrist in San Jose, California, licensed in California (6058) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790837722
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALFRED JANCredential: O.D.
Location Address5755 COTTLE RDSan Jose, CA 95123-3640
Mailing Address5755 Cottle RdSan Jose, CA 95123-3640
Phone(408) 972-3279
Fax(408) 972-3592
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1790837722 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 CA · 6058
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.
5755 COTTLE RD, San Jose, CA 95123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alfred Jan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95123 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 20

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

DR. MELISSA EMMERT PSY.D.
Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 472-3095
DR. JIANBO JAMES SONG PHD
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Santa Clara County (408) 972-3330
DR. KRISTINA GRACE JOHNSON PH.D.
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MR. YANI BUNDROS LMFT
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MOLLY ROSE ALLGOOD PSYD
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
SHANNON BARBARA MICHELSON
Social Worker (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (408) 972-3419
CODY LESNIAK
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (983) 201-2440
GINA LIU
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123
Santa Clara County (408) 972-3300

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 Alfred Jan's NPI number?

The NPI number for Alfred Jan is 1790837722. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Alfred Jan located?

Alfred Jan practices at 5755 Cottle Rd, San Jose, CA 95123. The listed phone number is (408) 972-3279.

What is Alfred Jan's specialty?

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

Is Alfred Jan enrolled in Medicare?

Yes. Alfred Jan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfred Jan was last updated on January 3, 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.