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GRACE HAN OD
NPI 1962388264
Optometrist in Pico Rivera, CA

Active since August 12, 2025PECOS Enrolled
4020 ROSEMEAD BLVD UNIT 22, PICO RIVERA, CA 90660(213) 820-3971 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Han Od NPPES

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

GRACE HAN OD (NPI 1962388264) is an individual optometrist in Pico Rivera, California, licensed in California (35944) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962388264
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGRACE HANCredential: OD
Location Address4020 ROSEMEAD BLVD UNIT 22Pico Rivera, CA 90660-1773
Mailing Address4020 Rosemead Blvd Unit 22Pico Rivera, CA 90660-1773 · (213) 820-3971
Phone(213) 820-3971
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1962388264 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 · 35944
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.
4020 ROSEMEAD BLVD UNIT 22, Pico Rivera, CA 90660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Han Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799268256
PECOS Enrollment IDI20260312001717
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Steven G Khwarg MD Prof Corp
12 mi
Retina Specialist
3055 WILSHIRE BLVD STE 100
Los Angeles, CA 90010
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1568722957 (213) 484-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90660 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Grace Han's NPI number?

The NPI number for Grace Han is 1962388264. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Grace Han located?

Grace Han practices at 4020 Rosemead Blvd Unit 22, Pico Rivera, CA 90660. The listed phone number is (213) 820-3971.

What is Grace Han's specialty?

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

Is Grace Han enrolled in Medicare?

Yes. Grace Han is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Han reassigns Medicare benefits to Steven G Khwarg MD Prof Corp (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Han's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Han was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.