Michelle Hoang Phan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00698500 Issued in NJ

Practice address

34-36 Progress St Ste B4
Edison, NJ 08820-1197

Phone

(732) 515-4405

NPI assigned

May 3, 2019

Last updated

Nov 1, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul Naftali O D P aGroup PAC ID 6800968942, 4 clinicians

Clarity Family Eyecare LLCGroup PAC ID 0446643605, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Family Eyecare LLC

  • Optometrist
  • Edison, NJ
  • NPI 1508537663
  Medicare reassignment Care Compare group NPD
• Paul Naftali O D P a

  • Corneal and Contact Management Optometrist
  • Madison, NJ
  • NPI 1508053760
  Medicare reassignment Care Compare group NPD
• Agg Optical Inc.

  dba Madison Eyes

  • Optometrist
  • Madison, NJ
  • NPI 1235059924
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1912562034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST STE B4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "732-515-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST STE B4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "732-515-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112631",
            "country_code": "US",
            "telephone_number": "860-667-6742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079402338",
            "country_code": "US",
            "telephone_number": "973-363-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MICHELLE",
        "middle_name": "HOANG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00698500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Peterson
• Maryann Peterson, M.D.
• Kristin Petosa, D.P.T.
• Michael Joseph Pezza Jr., DC
• Huy Tuan Pham, O.D.
• Pharmcare USA of Edison, Inc.
• Pharmcare USA of Edison, Inc.
• Pharmedium Services, LLC
• Nicholas Anthony Phillips, DO
• Nigel Kelly Phillips, MS, MA

• Optometrist in Edison, NJ
• Providers in Edison, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.