| Susana Chan, OD | |
|
891 Westminster St, Providence, RI 02903-4020 | |
| (401) 331-7850 | |
| (401) 274-4739 |
| Full Name | Susana Chan |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 891 Westminster St, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619002854 | NPI | - | NPPES |
| 0000032701 | Other | RI | BRUE CROSS |
| 9082077 | Medicaid | RI | |
| 23-77354 | Other | UNITED HEALTHCARE | |
| 414188 | Other | RI | BLUE CROSS |
| 32425 | Other | RI | NIEGHBORHOOD HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODTG00518 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 20/20 Vision Care, Inc. | 0547210452 | 4 |
| Provider Name | Westminster Eyecare Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538266804 PECOS PAC ID: 6305804907 Enrollment ID: O20041229000577 |
| Provider Name | 20/20 Vision Care, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700991932 PECOS PAC ID: 0547210452 Enrollment ID: O20050128000184 |
| Provider Name | Susana Chan Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376235069 PECOS PAC ID: 5395107379 Enrollment ID: O20230809000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Chan, OD 891 Westminster St, Providence, RI 02903-4020 Ph: (401) 331-7850 | Susana Chan, OD 891 Westminster St, Providence, RI 02903-4020 Ph: (401) 331-7850 |
Dr. Robert Mitchell Thacker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1466 Broad St, Providence, RI 02905 Phone: 401-941-6221 Fax: 401-941-6227 | |
Rhode Island Eye Institute Optometrist Medicare: Medicare Enrolled Practice Location: 150 E Manning St, Providence, RI 02906 Phone: 401-272-2020 | |
Eye Care Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 740 N Main St, Providence, RI 02904 Phone: 401-272-8282 Fax: 401-272-8284 | |
Eyediology Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 309, Providence, RI 02906 Phone: 732-668-9571 | |
East Side Vision Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Thayer St, Providence, RI 02906 Phone: 401-421-4500 Fax: 401-421-3876 | |
Stephanie Sturgis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 891 Westminster St, Providence, RI 02903 Phone: 401-331-7850 Fax: 401-274-4739 | |
Koch Eye Associates,llp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 55 Dorrance St, Providence, RI 02903 Phone: 401-861-0220 Fax: 401-861-0079 |