Individual provider Active NPI

Lawrence Chan Jr., OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1760473854
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
793 Issued in OR
Practice address
2524 SE 122ND Ave
Portland, OR 97236-3101
Phone
(503) 761-2121
Fax
(503) 761-2122
NPI assigned
Oct 29, 2005
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 793 OR Primary

Addresses

Primary practice location

2524 SE 122ND Ave
Portland, OR 97236-3101

Mailing address

2524 SE 122ND Ave
Portland, OR 97236-3101
Phone (503) 761-2121

Other names 1

  • Dr. Lawrence Chan Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
793ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Optometry Clinic PC Optometrist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1760473854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363101",
            "telephone_number": "503-761-2121",
            "fax_number": "503-761-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363101",
            "telephone_number": "503-761-2121",
            "fax_number": "503-761-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN JR.",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "CHAN JR.",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.