Jacquelyn Chan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11510TG Issued in TX

Practice address

1329 W Davis St
Conroe, TX 77304-2309

Phone

(936) 441-3937

Fax

(936) 441-3943

NPI assigned

Aug 12, 2025

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Texas Optometric PCGroup PAC ID 4284095738, 4 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.

• First Texas Optometric PC

  dba EyeTrends-Conroe

  • Optometrist
  • Conroe, TX
  • NPI 1235854746
  Medicare reassignment Care Compare group NPD
• Second Texas Optometric PC

  • Optometrist
  • The Woodlands, TX
  • NPI 1487378162
  Medicare reassignment NPD
• First Texas Optometric PC

  dba Eye Trends

  • Optometrist
  • Spring, TX
  • NPI 1801510599
  NPD
• Second Texas Optometric PC

  dba EyeTrends-Greenspoint

  • Optometrist
  • Greenspoint, TX
  • NPI 1760107288
  NPD
• First Texas Optometric PC

  dba EyeTrends-Kingwood

  • Optometrist
  • Kingwood, TX
  • NPI 1609591114
  NPD (past)
• First Texas Optometric PC

  dba EyeTrends-Louetta

  • Optometrist
  • Spring, TX
  • NPI 1699490102
  NPD (past)
• Second Texas Optometric PC

  dba EyeTrends-Parkway

  • Optometrist
  • Spring, TX
  • NPI 1013632538
  NPD (past)
• Second Texas Optometric PC

  dba EyeTrends-Woodlands

  • Optometrist
  • The Woodlands, TX
  • NPI 1043935562
  NPD (past)

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1467338046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042309",
            "telephone_number": "936-441-3937",
            "fax_number": "936-441-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042309",
            "telephone_number": "936-441-3937",
            "fax_number": "936-441-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JACQUELYN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11510TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Certainty Anesthesia Services PLLC
• Cesar F. Yabar M.D P.a
• Elizabeth Chacko
• Cherie Leeann Chadwick, LPC, LCDC
• Johnathan Mark Chambers
• Pachie Chan, M.D.
• Annabel Chang, MD
• June-Chieh Chang, M.D.
• Shih Min Chang, MS, RD, LD.
• Chapman Pain Consultants (Woodlands Pain Management)

• Optometrist in Conroe, TX
• Providers in Conroe, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.