Individual provider Active NPI

Britlynn Chan, O.D.

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1023472800
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61349370 Issued in WA
Practice address
11120 NE 33Rd PL
Bellevue, WA 98004-1444
Phone
(206) 426-2584
NPI assigned
Apr 7, 2016
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61349370 WA Primary

Addresses

Primary practice location

11120 NE 33Rd PL
Bellevue, WA 98004-1444

Mailing address

11120 NE 33Rd PL
Bellevue, WA 98004-1444
Phone (206) 426-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61349370WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eyecare Group Inc Optometrist CurrentSince May 1, 2024 Accepting new patients
Post Acute Optometry LLC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Northwest Vision Consultants Single Specialty PastSince May 1, 2024 Accepting new patients

Locations

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

225 106th Ave NE
Bellevue, WA 98004
Phone (425) 454-2028

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1023472800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-426-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-426-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BRITLYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61349370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.