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DR. RICHARD PHAN OD
NPI 1609352798
Optometrist in Berkeley, CA

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
200 MINOR LN, BERKELEY, CA 94720(510) 642-2020 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Phan Od NPPES

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

DR. RICHARD PHAN OD (NPI 1609352798) is an individual optometrist in Berkeley, California, licensed in California (OPT33976-TLG) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609352798
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD PHANCredential: OD
Location Address200 MINOR LNBerkeley, CA 94720
Mailing Address507 N Hanover StAnaheim, CA 92801-5007 · (714) 515-9721
Phone(510) 642-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2018
✔ NPI 1609352798 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 CA · OPT33976-TLG
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.
200 MINOR LN, Berkeley, CA 94720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

Dr. Richard Phan 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 ID8022369131
PECOS Enrollment IDI20220516000063
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 94720 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

DR. SAMUEL ALEXANDER MAINIERI OD
Optometrist
200 MINOR LN
BERKELEY, CA 94720
Alameda County (510) 642-2020
ALEXA WESTERBECK OD
Optometrist
200 MINOR LN
BERKELEY, CA 94720
Alameda County (510) 642-2020

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 Richard Phan's NPI number?

The NPI number for Richard Phan is 1609352798. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Richard Phan located?

Richard Phan practices at 200 Minor Ln, Berkeley, CA 94720. The listed phone number is (510) 642-2020.

What is Richard Phan's specialty?

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

Is Richard Phan enrolled in Medicare?

Yes. Richard 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 Richard Phan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Richard 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 Richard Phan was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.