1. Home
  2. Directory
  3. Texas
  4. Hurst
  5. Optometrist
  6. NPI Profile

MEDI LEE PHAN OD
NPI 1457950008
Optometrist in Hurst, TX

Active since October 23, 2020PECOS Enrolled
1101 MELBOURNE RD STE 3002, HURST, TX 76053(817) 284-0798 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Medi Lee Phan Od NPPES

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

MEDI LEE PHAN OD (NPI 1457950008) is an individual optometrist in Hurst, Texas, licensed in Texas (10072) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1457950008
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMEDI LEE PHANCredential: OD
Location Address1101 MELBOURNE RD STE 3002Hurst, TX 76053-6225
Mailing Address900 Lake Carolyn Pkwy Apt 533Irving, TX 75039-4650
Phone(817) 284-0798
Sole ProprietorYes
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1457950008 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 TX · 10072
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.
1101 MELBOURNE RD STE 3002, Hurst, TX 76053
Open in Google Maps ↗

Secondary Practice Location 1

Location 12301 Porter Creek Dr Ste 217Fort Worth, TX 76177-2339 · Phone (817) 847-7747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medi Lee Phan Od 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 76053 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

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

ROBERT L JONES O.D.
Optometrist
1101 MELBOURNE RD STE 3002
HURST, TX 76053
Tarrant County (817) 284-0798
JANE KIM OD
Optometrist
1101 MELBOURNE RD STE 3002
HURST, TX 76053
Tarrant County (817) 284-0798

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 Medi Phan's NPI number?

The NPI number for Medi Phan is 1457950008. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Medi Phan located?

Medi Phan practices at 1101 Melbourne Rd Ste 3002, Hurst, TX 76053. The listed phone number is (817) 284-0798.

What is Medi Phan's specialty?

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

Is Medi Phan enrolled in Medicare?

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

What insurance does Medi Phan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Medi 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 Medi Phan was last updated on October 23, 2020. 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.