JENNY LEN HONG PHAN OD
NPI 1669250262
Optometrist in Lebanon, TN

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
623 S CUMBERLAND ST, LEBANON, TN 37087(615) 994-3989 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Len Hong Phan Od NPPES

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

JENNY LEN HONG PHAN OD (NPI 1669250262) is an individual optometrist in Lebanon, Tennessee, licensed in Tennessee (3819) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669250262
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJENNY LEN HONG PHANCredential: OD
Location Address623 S CUMBERLAND STLebanon, TN 37087-5145
Mailing Address1816 21st Ave SNashville, TN 37212-3706 · (228) 313-2916
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1669250262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TN · 3819 Licensed in MS · 1077
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.
623 S CUMBERLAND ST, Lebanon, TN 37087

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

Jenny Len Hong 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 ID6800376625
PECOS Enrollment IDI20260219000575
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 37087 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Jenny Phan's NPI number?

The NPI number for Jenny Phan is 1669250262. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Jenny Phan located?

Jenny Phan practices at 623 S Cumberland St, Lebanon, TN 37087. The listed phone number is (615) 994-3989.

What is Jenny Phan's specialty?

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

Is Jenny Phan enrolled in Medicare?

Yes. Jenny 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 Jenny 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 and 1 other insurer list Jenny 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 Jenny Phan was last updated on September 15, 2023. 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.