Paulina Phuong Phan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5445TG Issued in TX

Practice address

4605 S Cooper St
Arlington, TX 76017-5827

Phone

(817) 557-9595

NPI assigned

Jan 27, 2006

Last updated

Feb 3, 2020By the provider in NPPES

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 TX

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Expo Group PLLCGroup PAC ID 8022025782, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Expo Group PLLC

  dba Vision Expo

  • Optometrist
  • Arlington, TX
  • NPI 1730305012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1760453062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-225-2213",
            "fax_number": "817-465-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-557-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "PAULINA",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5445TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lan Phan, PHARM.D.
• Andrew Phan, D.D.S
• Christy Phan, PHARM D
• Khuong Dinh Phan, D.O.
• Ly K Phan, O.D.
• Tien Van Phan, PT, DPT
• Yen Phan, DO
• Pharmaceutical Development Group LLC (RX-Direct Home Delivery)
• Pharmacy Concepts LTD
• Pharmacy Depot, LLC (Pharmacy Depot)

• Optometrist in Arlington, TX
• Providers in Arlington, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.