Jeffrey Erick Fang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60661962 Issued in WA

Practice address

523 Pine St Ste 200
Seattle, WA 98101-1722

Phone

(206) 652-9000

Fax

(206) 381-1732

NPI assigned

Jul 1, 2016

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Seattle Eye Docs PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1790289700
  Medicare reassignment NPD Authorized official
• America's Best Contacts & Eyeglasses

  • Optician
  • Silverdale, WA
  • NPI 1487087904
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1861844847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PINE ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011722",
            "telephone_number": "206-652-9000",
            "fax_number": "206-381-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 PINE ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011722",
            "telephone_number": "206-652-9000",
            "fax_number": "206-381-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "JEFFREY",
        "middle_name": "ERICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60661962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Fang
• Evelyn Yu-Ting Fang, MD
• Fang Fang, ARNP
• Ferric Chuwen Fang
• He Fang, PHD
• Li-Ming Christine Fang, MD
• Min Fang, MD, PHD
• Ryan C Fang, MD
• Serena Fang, MD
• Annie Fangman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.