Eric CHI-Jun Jan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001846 Issued in VA

Practice address

14008 Glen Mill Rd
Rockville, MD 20850-3427

Phone

(301) 996-7806

NPI assigned

Jun 30, 2009

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, GA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sightrite Medical MD LLCGroup PAC ID 8325392004, 6 clinicians

Eric Jan, O.D., LLCGroup PAC ID 3173796547, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eric Jan, O.D., LLC

  • Optometrist
  • Rockville, MD
  • NPI 1487939690
  Medicare reassignment Care Compare group Authorized official
• Sightrite Medical MD LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1649755851

  DC

  Medicare reassignment Care Compare group NPD
• Eyecontact Inc.

  • Optometrist
  • Acworth, GA
  • NPI 1407054232
  Medicare reassignment NPD
• Vision Onsite

  • Optometrist
  • Acworth, GA
  • NPI 1962238931
  NPD
• Mobile Optical Inc

  • Optician
  • Columbia, MD
  • NPI 1467497107

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1285862110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 GLEN MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503427",
            "telephone_number": "301-996-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 GLEN MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503427",
            "telephone_number": "301-996-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "ERIC",
        "middle_name": "CHI-JUN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001846",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Jamieson
• Annette M Jamison, CRNP-FAMILY
• Jena Jamison, MD
• Jan Active Therapy LLC
• Jan Bachowski, MD
• Nicholas Jan
• Jane Cantor, LLC
• Jordan Janey
• Jae Yeon Jang, DMD
• Jeehyun N/a Jang

• Optometrist in Rockville, MD
• Providers in Rockville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.