Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackie Wai Kit Chan, OD

Individual provider Optometrist · NPI 1366672925

Dr. Jackie Wai Kit Chan, OD is an Optometry in Brooklyn, New York. Graduated from State University of New York - State College Optometry in 2009, 17 years ago. Practices with Eyevista Optometry of 86 LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1883 86th St 1st Fl
Brooklyn, NY 11214-3108
Phone: (718) 256-2020
Fax: (718) 256-2027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007407-1 (NY)

Record details

NPI number1366672925
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 17, 2009
Last updated in NPPESSeptember 8, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Eyevista Optometry Of 86 Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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