DR. TYLER PHAN O.D.
NPI 1306250931
Optometrist in Newburgh, NY
About Dr. Tyler Phan O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER PHAN O.D. (NPI 1306250931) is an individual optometrist in Newburgh, New York, licensed in New York (TUV008145) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Tyler Phan O.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWBURGH, NY 12550
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 Tyler Phan's NPI number?
The NPI number for Tyler Phan is 1306250931. It was assigned to this individual provider in the NPPES registry on June 11, 2014.
Where is Tyler Phan located?
Tyler Phan practices at 147 Lake St, Newburgh, NY 12550. The listed phone number is (845) 563-8000.
What is Tyler Phan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tyler Phan enrolled in Medicare?
Yes. Tyler Phan 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.
What insurance does Tyler Phan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Tyler 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 Tyler Phan was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Tyler Phan, O.D. · NPI 1306250931
Optometrist provider in Newburgh, New York. Individual provider, active in the CMS NPPES registry since June 11, 2014.
## Identity
- **NPI:** 1306250931 (Entity type: Individual)
- **Enumerated:** June 11, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV008145 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 147 LAKE ST, Newburgh, NY 12550-5263
- **Phone:** (845) 563-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306250931) · Data from the CMS NPPES public registry.