Phoebe Yuanmei Pan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009159 Issued in NY

Practice address

128 Mott St Ste 408
New York, NY 10013-5588

Phone

(212) 732-0073

Fax

(212) 732-0191

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: panp@neilpatel.emadirect.md
• Direct secure messaging: ppan@advancedeyecare.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harooni & Sheindlin MD PC

  • Specialist
  • Brooklyn, NY
  • NPI 1861597510
  Medicare reassignment NPD
• Wilson Ko, M.D., F.a.C.S., P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Flushing, NY
  • NPI 1437365665
  Medicare reassignment NPD
• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796
  Medicare reassignment NPD
• Gotham Eye Medical, P.C.

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1346663051
  Medicare reassignment
• Ny Comprehensive Medical Wellness P.C.

  • Dermatopathology Physician
  • Bronx, NY
  • NPI 1912419698
  NPD
• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1194342535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 HERKIMER ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112336969",
            "telephone_number": "832-488-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 408",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135588",
            "telephone_number": "212-732-0073",
            "fax_number": "212-732-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "PHOEBE",
        "middle_name": "YUANMEI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "009159",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "009159",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lin Yu Pan
• Ling Pan, M.D.
• Lisa Pan
• Nancy Pan
• Peter Chei-Way Pan, MD
• Sabrina Lixin Pan, MD
• Samuel Pan, MD
• Sharon Sheng-Yueh Pan, MD
• Steven Pan, MD
• Tiffany Pan, PHARMD

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.