David Phan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011205 Issued in IL

Practice address

1753 E 95TH St Ste B-100
Chicago, IL 60617

Phone

(773) 364-4938

NPI assigned

Jul 9, 2018

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Male

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 VT

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eyecare PCGroup PAC ID 1052301546, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dphan@adveyecarevt.emadirect.md

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.

• Advanced Eyecare PC

  • Ophthalmology Physician
  • Bennington, VT
  • NPI 1790739340

  Optometrist

  Medicare reassignment Care Compare group NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Cicero, IL
  • NPI 1346667771
  NPD (past)
• America's Best Contacts and Eyeglasses

  • Optician
  • Chicago, IL
  • NPI 1992904577
  NPD (past)
• National Vision Inc

  dba America's Best Eyecare and Eyewear

  • Optometrist
  • Chicago, IL
  • NPI 1003018771
  NPD (past)
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Chicago, IL
  • NPI 1205291267
  NPD (past)
• Advanced Eyecare, PC

  • Eyewear Supplier
  • Manchester Center, VT
  • NPI 1386832756
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1972099307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 N SHERIDAN RD APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404048",
            "telephone_number": "312-330-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 E 95TH ST STE B-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60617",
            "telephone_number": "773-364-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W 47th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093232",
            "country_code": "US",
            "telephone_number": "773-640-5384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W 87th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606201321",
            "country_code": "US",
            "telephone_number": "773-496-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4741 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608042508",
            "country_code": "US",
            "telephone_number": "708-391-1763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 S Marshfield Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606434904",
            "country_code": "US",
            "telephone_number": "773-568-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Diem Trang Pham, MD
• Trinh Thiyen Pham, MD
• Valerie Pham, OTD, OTR/L
• Xuan Lan Thi Phan-Tran, DDS
• An Phan
• Diana T Phan, M.D.
• Duy Quoc Phan
• Hoangmai Thi Phan, M.D
• Jennifer Phan
• Jun Phan, RDN,LDN

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.