Kwok Fung Chan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35087 Issued in CA

Practice address

523 Telegraph Canyon Rd
Chula Vista, CA 91910-6436

Phone

(619) 482-2020

Fax

(619) 482-2671

NPI assigned

Jan 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ricky KF Chan Other name

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rex Aaron Werner OD, IncGroup PAC ID 6103105333, 5 clinicians

Villa Optometry IncGroup PAC ID 3577848027, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://wernerod.ef.prod.fhir.ema-api.com/fhir/r4/

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

• Rex Aaron Werner OD, Inc

  • Optometrist
  • El Cajon, CA
  • NPI 1578010534
  Medicare reassignment Care Compare group NPD
• Villa Optometry, Inc.

  • Optometrist
  • Chula Vista, CA
  • NPI 1558739078
  Medicare reassignment Care Compare group
• W Joseph Garvin OD Optometric Corporation

  • Corneal and Contact Management Optometrist
  • Escondido, CA
  • NPI 1467754903
  NPD
• Werner Optometry, Apc

  • Optometrist
  • El Cajon, CA
  • NPI 1851617666
  NPD

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1407508385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD STE 155",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194319",
            "telephone_number": "619-670-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-482-2020",
            "fax_number": "619-482-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jamacha Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920194319",
            "country_code": "US",
            "telephone_number": "619-670-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KWOK FUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKY",
            "last_name": "CHAN",
            "middle_name": "KF",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amaury Chagoya
• Chalati Group LLC
• Michael E. Chambers, M.D.
• Alonso Benjamin Chan Jr., PA-C
• Hanny Chan, MD
• Jasmine Chaney
• David T. Chang, M.D.
• Irene S Chang, MD
• Alexander Chao-Mendoza
• Doris Chapa Alvarez

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.