Individual provider

Kimberley Chan, O.D.

Pediatric Optometrist Medicare enrolled

Kimberley Chan, O.D. is a provider specialising in Pediatric Optometrist in Boston, MA, registered under NPI 1104908458.

Getting there

The practice address on file is 243 CHARLES ST, Boston, MA 02114. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

243 CHARLES ST, Boston, MA 02114 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4522 MA Pediatric Optometrist primary

This provider holds licence 4522 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Optometry
PAC ID
4183658339

Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatrics covers

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. NUCC Health Care Provider Taxonomy, code 152WP0200X
Eye and Vision Services Providers Optometrist Pediatrics

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104908458 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 19, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorNo
CredentialO.D.
Practice address 243 CHARLES ST
Boston, MA 02114
(617) 573-4169
Other identifiers W16452 · BCBS PROVIDER ID (MA)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104908458 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 0 8 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 0 7 4 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104908458?
NPI 1104908458 is the National Provider Identifier assigned to Kimberley Chan, O.D. in Boston, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics cover?
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
How do I contact Kimberley Chan, O.D.?
The phone number on file with NPPES is (617) 573-4169, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kimberley Chan, O.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104908458 a valid number?
Yes. 1104908458 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.