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DR. MOLLY SUE PHAN O.D.
NPI 1124003397
Optometrist in Portland, OR

Active since December 10, 2005PECOS Enrolled
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Molly Sue Phan O.d. NPPES

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

DR. MOLLY SUE PHAN O.D. (NPI 1124003397) is an individual optometrist in Portland, Oregon, licensed in Oregon (3100T) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124003397
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MOLLY SUE PHANCredential: O.D.
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address11670 Sw BlakeneyBeaverton, OR 97008 · (503) 330-4480
Phone(503) 220-8262
Sole ProprietorNo
Enumeration DateDecember 10, 2005
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1124003397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OR · 3100T✔ Licensed in WA · OD00004038
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239
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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. Molly Sue 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 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

DR. JESSICA J KHALILI PHARMD
Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Multnomah County (503) 402-2946
MICHELLE LEA KELLER
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. AMY W WAGNER PH.D.
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. DAVID MORRISON DOUGLAS MD
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 721-1440
KENNETH JOHN SCALAPINO M.D.
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Multnomah County (503) 220-8262
MS. LAKSHI MARIE ALDREDGE NP
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8268
GRACE CHIEN M.D.
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. MARI UCHISHIBA PHARMD, CDE
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239
Multnomah County (503) 220-8262

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 Molly Phan's NPI number?

The NPI number for Molly Phan is 1124003397. It was assigned to this individual provider in the NPPES registry on December 10, 2005.

Where is Molly Phan located?

Molly Phan practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Molly Phan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Molly Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Molly Phan was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.