Individual provider Active NPI

Yun Fan, O.D.

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1720058225
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2905AT Issued in OR
Practice address
2326 NW Amberbrook Dr
Beaverton, OR 97006-6952
Phone
(503) 466-2966
Fax
(503) 466-2008
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2905AT OR Primary

Addresses

Primary practice location

2326 NW Amberbrook Dr
Beaverton, OR 97006-6952

Mailing address

2326 NW Amberbrook Dr
Beaverton, OR 97006-6952
Phone (503) 466-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20050409000114 OR Practitioner - Optometry 8022055250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Couple of Eyes Vision Care, P.C.Group PAC ID 7113964339, 2 clinicians

Practice addresses (Care Compare)

9257 NE Windsor St
Hillsboro, OR 97006-7025
Phone (503) 466-2966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2905ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Couple of Eyes Vision Care, P.C. CurrentSince Oct 3, 2012 Accepting new patients

Locations

9257 NE Windsor St
Hillsboro, OR 97006
Phone (503) 466-2966

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720058225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 NW AMBERBROOK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066952",
            "telephone_number": "503-466-2966",
            "fax_number": "503-466-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 NW AMBERBROOK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066952",
            "telephone_number": "503-466-2966",
            "fax_number": "503-466-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "YUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2905AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.