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SHELLEY YIJY PHOUN OD
NPI 1194188748
Optometrist in Los Angeles, CA

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
KAISER PERMANENTE LAMC DEPARTMENT OF OPTOMETRY, 1515 N VERMONT AVENUE, 6TH FLOOR, LOS ANGELES, CA 90027(800) 954-8000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, May 6, 2021, May 17, 2018 and 1 more (4 updates tracked since 2016).

About Shelley Yijy Phoun Od NPPES

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

SHELLEY YIJY PHOUN OD (NPI 1194188748) is an individual optometrist in Los Angeles, California, licensed in California (33515TLG) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194188748
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHELLEY YIJY PHOUNCredential: OD
Location AddressKAISER PERMANENTE LAMC DEPARTMENT OF OPTOMETRY, 1515 N VERMONT AVENUE, 6TH FLOORLos Angeles, CA 90027-5337
Mailing AddressKaiser Permanente Lamc Department Of Optometry, 1515 N Vermont Avenue, 6th FloorLos Angeles, CA 90027-5337
Phone(800) 954-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateNovember 29, 20214 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1194188748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 33515TLG
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
KAISER PERMANENTE LAMC DEPARTMENT OF OPTOMETRY, Los Angeles, CA 90027
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Secondary Practice Location 1

Location 111301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelley Yijy Phoun Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961758263
PECOS Enrollment IDI20180628001749
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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Shelley Yijy Phoun's NPI number?

The NPI number for Shelley Yijy Phoun is 1194188748. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Shelley Yijy Phoun located?

Shelley Yijy Phoun practices at Kaiser Permanente Lamc Department Of Optometry 1515 N Vermont Avenue, 6th Floor, Los Angeles, CA 90027. The listed phone number is (800) 954-8000.

What is Shelley Yijy Phoun's specialty?

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

Is Shelley Yijy Phoun enrolled in Medicare?

Yes. Shelley Yijy Phoun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelley Yijy Phoun was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.