Crystal Chan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003708 Issued in GA

Practice address

484 Moreland Ave NE Ste D
Atlanta, GA 30307-3421

Phone

(404) 737-2020

NPI assigned

Feb 19, 2024

Sex

Female

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

• Crystal Chan Professional name

Medicare fee-for-service enrollment

Enrolled in KY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Kevin Snipes OD & Associates PSC

  • Optometrist
  • Louisville, KY
  • NPI 1821287335
  Medicare reassignment NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1467217513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 AUBURN AVE NE UNIT 612",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MORELAND AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073421",
            "telephone_number": "404-737-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CRYSTAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CHAN",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kizzy Champion-Massey
• Wanda Champion
• Champions Pharmacy
• Kimberly Paul Champney, MD
• Austin Wei-Hong Chan, MD
• Douglas Chan, MD
• Dustin Yuenn-Yin Chan, OTR/L
• Gilbert Chan, MD
• Joshua L. Chan, M.D.
• Patricia Elizabeth Chan

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.