Active NPI
Chan Family Vision Care Optometric Inc
- Optometrist
- Grass Valley, CA
National Provider Identifier
1699323329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CHAN FAMILY VISION CARE OPTOMETRIC INC
- Practice address
- 360 Sierra College Dr Ste 100
Grass Valley, CA 95945-5088 - Phone
- (530) 273-3190
- Fax
- (530) 273-5541
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200123001775 | CA | Part B Supplier - Clinic/Group Practice | 8921433830 |
Receives reassigned benefits from 4 practitioners Practice locations: Grass Valley, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Chan Family Vision Care Optometric
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Grass Valley, CA
- NPI 1831831023
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany Lauren Chan, OD
- Title
- President
- Phone
- (530) 273-3190
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
360 Sierra College Dr Ste 100
Grass Valley, CA 95945-5088
Mailing address
360 Sierra College Dr Ste 100
Grass Valley, CA 95945-5088
Phone (530) 273-3190
NPI Registry JSON
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1699323329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SIERRA COLLEGE DR STE 100",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455088",
"telephone_number": "530-273-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SIERRA COLLEGE DR STE 100",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455088",
"telephone_number": "530-273-3190",
"fax_number": "530-273-5541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAN FAMILY VISION CARE OPTOMETRIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "LAUREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-273-3190",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.