Junyan Gan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3813 Issued in WA

Practice address

5335 NE 4TH St Ste 4
Renton, WA 98059-4831

Phone

(425) 282-5475

Fax

(425) 282-5936

NPI assigned

Jul 20, 2006

Last updated

Dec 11, 2021By the provider in NPPES

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

• Jane Gan Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Southern California College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• See Jane Inc

  dba Briarwood Vision Center

  • Optometrist
  • Renton, WA
  • NPI 1760402366
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1679593677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 NE 4TH ST",
            "address_2": "STE 4",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594831",
            "telephone_number": "425-282-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 NE 4TH ST STE 4",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594831",
            "telephone_number": "425-282-5475",
            "fax_number": "425-282-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAN",
        "first_name": "JUNYAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "GAN",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Robert Gallip, EMT, NAR
• Christine Gruenheck Galloway
• Quisha Galloway, LICSW
• Ty Mitchell Galvin, D.D.S.
• Grace B. Gamponia, MD
• Laura Ann Ganhs, PA-C
• Pamela E Ganz, PA-C
• Ashley Ganzberg, APRN, PMHNP-BC
• Lu Gao, M.D., PH.D.
• Lorna C Garces, AGENCY AFFILIATED CO

• Optometrist in Renton, WA
• Providers in Renton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.