Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KHAI GIA PHAN O.D.
NPI 1417077710
Optometrist in Wilton Manors, FL

Q: What is Khai Phan's NPI number?

The NPI number for Khai Phan is 1417077710. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Khai Phan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Khai Phan was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 March 30, 2007PECOS EnrolledAccepts Medicare Assignment

2301 WILTON DR STE C1, WILTON MANORS, FL 33305(954) 764-6906(954) 463-7933 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Khai Gia Phan O.d. NPPES

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

DR. KHAI GIA PHAN O.D. (NPI 1417077710) is an individual optometrist in Wilton Manors, Florida, licensed in Florida (OPC3501) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami Gardens, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417077710

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KHAI GIA PHANCredential: O.D.

Location Address2301 WILTON DR STE C1Wilton Manors, FL 33305-1204

Mailing Address19501 Nw 27th AveMiami Gardens, FL 33056-2521 · (305) 974-2588

Phone(954) 764-6906

Fax(954) 463-7933

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 30, 2007

Last NPPES UpdateOctober 15, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1417077710 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 FL · OPC3501

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.

2301 WILTON DR STE C1, Wilton Manors, FL 33305

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Secondary Practice Location 1

Location 119501 NW 27th AveMiami Gardens, FL 33056-2521 · Phone (305) 974-2588

Other Identifiers 1

Medicaid014191100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khai Gia 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.

PECOS PAC ID9739227372

PECOS Enrollment IDI20150430000890

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.

Medicare Billing Reassignment

Medicare enrollment records show Khai Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Florida, LLC

Same address

Optometrist

2301 WILTON DR STE C1
Wilton Manors, FL 33305

Reassigned Medicare billing, Florida enrollment
322 clinicians in this Medicare group

NPI 1942782073 (954) 764-6906

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33305 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

MYEYEDR OPTOMETRY OF FLORIDA, LLC

Optometrist

2301 WILTON DR STE C1
WILTON MANORS, FL 33305

Broward County (954) 764-6906

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 Khai Phan's NPI number?

The NPI number for Khai Phan is 1417077710. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Khai Phan located?

Khai Phan practices at 2301 Wilton Dr Ste C1, Wilton Manors, FL 33305. The listed phone number is (954) 764-6906.

What is Khai Phan's specialty?

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

Is Khai Phan enrolled in Medicare?

Yes. Khai 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.

Which organization bills Medicare for Khai Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khai Phan reassigns Medicare benefits to Myeyedr Optometry Of Florida, LLC (Wilton Manors, FL). The 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 Khai Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khai Phan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 18 other insurers list Khai 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 Khai Phan was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.