MS. CEIDA P CHAN (O.D.) – Optometrist, NPI 1023028057

MS. CEIDA P CHAN (O.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4399 (MA). The NPI Number for MS. CEIDA P CHAN (O.D.) is 1023028057

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. CEIDA P CHAN (O.D.)
NPI
1023028057
Phone
(857) 654-1000
Address
780 ALBANY ST
Enumeration Date
9 August 2006
Last Update Date
10 September 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8576541850
Graduation Year
2004 (22 years ago)
PAC ID
4183629165
Group Practice PAC ID
2668475419
Professional Enrollment ID
I20060926000169
Address ID
MA021182404BO444XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for MS. CEIDA P CHAN (O.D.)

  • 780 ALBANY ST

    BOSTON, MA 021182755

    Phone: (857) 654-1000

    Fax: (857) 654-1100

    Type: Location

  • 930, Commonwealth Avenue, Allston, Boston, Suffolk County, Massachusetts, 02215, United States

    SUITE 2A NEW ENGLAND EYE INSTITUTE

    BOSTON, MA 02215

    Phone: (617) 262-2020

    Fax: (617) 587-5512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,179.

Total Amount is formed as General ($1,179) + Research ($0) + Ownership ($0) = $1,179.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($286).

Total Amount

$1,179

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060926000169IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668475419View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Internal MedicineMA
Nurse PractitionerMA
-MA
-MA
Internal MedicineMA
Clinical Social WorkerMA
Physician AssistantMA
Physician AssistantMA
-MA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. CEIDA P CHAN (O.D.)?
NPI 1023028057 is assigned to MS. CEIDA P CHAN (O.D.) under the national enumeration system.
Is MS. CEIDA P CHAN (O.D.) active in the national directory?
MS. CEIDA P CHAN (O.D.)'s public NPI profile is in an active state.
What does MS. CEIDA P CHAN (O.D.) treat or focus on?
Patients typically see MS. CEIDA P CHAN (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place MS. CEIDA P CHAN (O.D.)?
The snapshot lists Boston, Massachusetts for MS. CEIDA P CHAN (O.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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