Thu Ai Phan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34712 Issued in CA

Practice address

1909 W Malvern Ave
Fullerton, CA 92833-2177

Phone

(714) 992-8020

NPI assigned

Oct 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alvin Arellano OD IncGroup PAC ID 9335182625, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alvin Arellano, O.D., Inc.

  dba Focal Point Optometry

  • Corneal and Contact Management Optometrist
  • Fullerton, CA
  • NPI 1275653222
  Medicare reassignment Care Compare group NPD
• Jimmy K. Lee, M.D. Inc.

  dba California Vision Institute

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1750143681
  NPD (past)

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1679172142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-992-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-992-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THU",
        "middle_name": "AI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Thien Pham
• Harry Phan
• Kelly Nguyen Phan, DPT
• Tammy Phan
• Thomas Minh Phan, MD
• Sothy Lun Pheng, MD
• Bryan-Huy Ngoc Phi, MD
• Tiffany Phillips
• Kaylea Ann Philobos, NBC-HWC
• Raylina Marie Phipps, LVN

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.