DR. JACLYN T PHAN O.D.
NPI 1114078235
Optometrist - Corneal and Contact Management in Bothell, WA

Q: What is Jaclyn Phan's NPI number?

The NPI number for Jaclyn Phan is 1114078235. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Jaclyn Phan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Phan was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2007PECOS Enrolled

1912 201ST PL SE, SUITE 204, BOTHELL, WA 98012(425) 485-6812 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jaclyn T Phan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN T PHAN O.D. (NPI 1114078235) is an individual corneal and contact management provider in Bothell, Washington, licensed in Washington (3357) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114078235

Entity TypeIndividualFemale

Primary Taxonomy152WC0802X

Provider Legal NameDR. JACLYN T PHANCredential: O.D.

Location Address1912 201ST PL SE, SUITE 204Bothell, WA 98012-8570

Mailing Address1912 201st Pl Se, Suite 204Bothell, WA 98012-8570 · (425) 485-6812

Phone(425) 485-6812

Sole ProprietorYes

Enumeration DateJanuary 16, 2007

Last NPPES UpdateNovember 23, 2007

✔ NPI 1114078235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in WA · 3357

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

1912 201ST PL SE, Bothell, WA 98012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaclyn T Phan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACLYN PHAN & ASSOCIATES

Clinic/Center

1912 201ST PL SE, SUITE 204
BOTHELL, WA 98012

Snohomish County (425) 485-6812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Phan's NPI number?

The NPI number for Jaclyn Phan is 1114078235. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jaclyn Phan located?

Jaclyn Phan practices at 1912 201st Pl SE Suite 204, Bothell, WA 98012. The listed phone number is (425) 485-6812.

What is Jaclyn Phan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Jaclyn Phan enrolled in Medicare?

Yes. Jaclyn Phan is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Phan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jaclyn Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Phan was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.