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DR. SANDRA PHAN O.D.
NPI 1760635510
Optometrist in Jackson Heights, NY

Active since October 24, 2008PECOS Enrolled
8407 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 651-2020(718) 651-2034 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sandra Phan O.d. NPPES

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

DR. SANDRA PHAN O.D. (NPI 1760635510) is an individual optometrist in Jackson Heights, New York, licensed in Illinois (046010174) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760635510
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANDRA PHANCredential: O.D.
Location Address8407 ROOSEVELT AVEJackson Heights, NY 11372-7340
Mailing Address8407 Roosevelt AveJackson Heights, NY 11372-7340 · (718) 651-2020 · Fax (718) 651-2034
Phone(718) 651-2020
Fax(718) 651-2034
Sole ProprietorNo
Enumeration DateOctober 24, 2008
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1760635510 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 IL · 046010174
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.
8407 ROOSEVELT AVE, Jackson Heights, NY 11372
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Sandra Phan O.d. 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.

Medicare Billing Reassignment

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

Phanod LLC
Same address
Health Service
8407 ROOSEVELT AVE
Jackson Heights, NY 11372
  • Reassigned Medicare billing, New York enrollment
NPI 1700486800 (718) 651-2020

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 11372 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

JACKSON HEIGHTS VISION ASSOCIATES
Optometrist
8407 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 651-2020
PHANOD LLC
Clinic/Center (Health Service)
8407 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 651-2020

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 Sandra Phan's NPI number?

The NPI number for Sandra Phan is 1760635510. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Sandra Phan located?

Sandra Phan practices at 8407 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 651-2020.

What is Sandra Phan's specialty?

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

Is Sandra Phan enrolled in Medicare?

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

Which organization bills Medicare for Sandra Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Phan reassigns Medicare benefits to Phanod LLC (Jackson Heights, NY). 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 Sandra Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Sandra 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 Sandra Phan was last updated on November 3, 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.