Active NPI
Lawrence Hoi Yuen Chan, O.D.
- Optometrist
- Aloha, OR
National Provider Identifier
1720295181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3114ATI
- Practice address
- 15901 SW Jenkins Rd
Aloha, OR 97006-5045 - Phone
- (503) 270-4451
- Fax
- (503) 270-4452
- NPI assigned
- May 16, 2007
- Last updated
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3114ATI | OR | Primary |
Addresses
Primary practice location
15901 SW Jenkins Rd
Aloha, OR 97006-5045
Mailing address
15901 SW Jenkins Rd
Aloha, OR 97006-5045
Phone (503) 270-4451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 6, 2023 through Apr 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3114ATI | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1720295181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15901 SW JENKINS RD",
"city": "ALOHA",
"state": "OR",
"postal_code": "970065045",
"telephone_number": "503-270-4451",
"fax_number": "503-270-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15901 SW JENKINS RD",
"city": "ALOHA",
"state": "OR",
"postal_code": "970065045",
"telephone_number": "503-270-4451",
"fax_number": "503-270-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LAWRENCE",
"middle_name": "HOI YUEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3114ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.