Kimberley Chan, O.D.
NPI 1104908458 · Pediatric Optometrist · Boston, MA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberley Chan, O.D. is a Pediatric Optometrist provider in Boston, MA (NPI 1104908458).
Provider details
- NPI number
- 1104908458
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4522 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kimberley Chan's NPI number?
- Kimberley Chan's National Provider Identifier (NPI) is 1104908458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberley Chan's specialty?
- Kimberley Chan is listed in the NPPES registry with a primary specialty of Pediatric Optometrist (Eye and Vision Services Providers).
- Where is Kimberley Chan located?
- Kimberley Chan's practice location on file with NPPES is 243 Charles St, Boston, MA 02114-3002.
- What is Kimberley Chan's phone number?
- The practice phone number listed in the NPPES registry for Kimberley Chan is (617) 573-4169.
- Does Kimberley Chan accept Medicare?
- Kimberley Chan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberley Chan's NPI active?
- Yes — Kimberley Chan's NPI (1104908458) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.