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NPI · 1164065959 · NPPES-sourced

Dr. Kevin Phan OD

ActiveOptometrist
NPI Number
1164065959
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(503) 654-6217
License OR · 4708
Last Updated
About 2 years ago (Sep 2023)
Enumerated 2019-10-24
Primary practice addressOR · 97086-7746
12000 Se 82nd Ave Ste 2193Happy Valley, OR 97086-7746
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About this NPIWhat this record shows.

NPI 1164065959 is registered to Dr. Kevin Phan OD, a Optometrist practising at 12000 Se 82nd Ave Ste 2193 in Happy Valley, Oregon. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kevin Phan OD has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-10-24
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kevin Phan OD accepts. To confirm in-network status with your specific health plan, contact Dr. Kevin Phan OD directly at (503) 654-6217.

Frequently asked

Yes. NPI 1164065959 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 654-6217.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kevin Phan OD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated2023-09
Enumerated2019-10-24
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in Oregon.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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