Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Pan, OD

Individual provider Optometrist · NPI 1679127872

Jacqueline Pan, OD is an Optometry in Honolulu, Hawaii. Graduated from University of California - School of Optometry in 2019, 7 years ago. Practices with Family Optometric Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in Hawaii and Pennsylvania.

Years since qualifying
7
Trained at
University of California - School of Optometry
Licensed in
HI, PA
In the registry since
2019
Specialties on file
2
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

4725 Bougainville Dr
Honolulu, HI 96818-3179
Phone: (808) 312-3878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD-1043 (HI)
Optometrist Taxonomy 152W00000X · Licence OEG003595 (PA)

Record details

NPI number1679127872
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 26, 2019
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address4725 Bougainville Dr, Honolulu, HI 96818-3179

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Family Optometric Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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