TRICIA PHAN OD LLC
NPI 1255611034
Optometrist in Tacoma, WA

Q: What is Tricia Phan Od LLC's NPI number?

The NPI number for Tricia Phan Od LLC is 1255611034. It was assigned to this organization in the NPPES registry on August 24, 2011.

Q: What is Tricia Phan Od LLC's specialty?

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

Active since August 24, 2011

4051 TACOMA MALL BLVD, TACOMA, WA 98409(253) 476-2874 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tricia Phan Od Llc NPPES

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

TRICIA PHAN OD LLC (NPI 1255611034) is a healthcare organization registered as an optometrist in Tacoma, Washington and active in the NPI registry since August 2011. The organization lists Tricia Phan, Owner, as its authorized official.

NPPES Registry Identity

NPI1255611034

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTRICIA PHAN OD LLC

Location Address4051 TACOMA MALL BLVDTacoma, WA 98409-7287

Mailing Address4051 Tacoma Mall BlvdTacoma, WA 98409-7287

Phone(253) 476-2874

Organization SubpartNo

Authorized OfficialTricia PhanOwner · (253) 476-2874

Enumeration DateAugust 24, 2011

✔ NPI 1255611034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WA · OD60176880

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.

4051 TACOMA MALL BLVD, Tacoma, WA 98409

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tricia Phan Od Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tricia Phan Od LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tricia Phan, OD

Optometry

NPI 1245334630

4051 TACOMA MALL BLVD
Tacoma, WA 98409

(253) 473-6427

✔ PECOSSame address

Jaclyn Phan, O.D.

Optometry

NPI 1114078235

1912 201ST PL SE SUITE 204
Bothell, WA 98012

(425) 485-6812

✔ PECOS43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tricia Phan Od LLC's NPI number?

The NPI number for Tricia Phan Od LLC is 1255611034. It was assigned to this organization in the NPPES registry on August 24, 2011.

Where is Tricia Phan Od LLC located?

Tricia Phan Od LLC is located at 4051 Tacoma Mall Blvd, Tacoma, WA 98409. The listed phone number is (253) 476-2874.

What is Tricia Phan Od LLC's specialty?

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

Is Tricia Phan Od LLC enrolled in Medicare?

Yes. Tricia Phan Od LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tricia Phan Od LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Tricia Phan Od LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tricia Phan Od LLC accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Tricia Phan Od LLC 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 Tricia Phan Od LLC was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.