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DR. DAVID PHAN OD
NPI 1972099307
Optometrist in Chicago, IL

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment
1753 E 95TH ST STE B-100, CHICAGO, IL 60617(773) 364-4938 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Phan Od NPPES

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

DR. DAVID PHAN OD (NPI 1972099307) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.011205) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2018).

NPPES Registry Identity

NPI1972099307
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID PHANCredential: OD
Location Address1753 E 95TH ST STE B-100Chicago, IL 60617
Mailing Address4840 N Sheridan Rd Apt 1Chicago, IL 60640-4048 · (312) 330-7005
Phone(773) 364-4938
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2018
Enumeration DateJuly 9, 2018
Last NPPES UpdateJuly 11, 2018
✔ NPI 1972099307 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 · 046.011205
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.
1753 E 95TH ST STE B-100, Chicago, IL 60617
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Secondary Practice Locations 4

Location 11400 W 47th StChicago, IL 60609-3232 · Phone (773) 640-5384
Location 2205 W 87th St Ste DChicago, IL 60620-1321 · Phone (773) 496-5433
Location 34741 W Cermak RdCicero, IL 60804-2508 · Phone (708) 391-1763
Location 411750 S Marshfield AveChicago, IL 60643-4904 · Phone (773) 568-3479

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. David 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 ID8628507415
PECOS Enrollment IDI20250123001412
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 60617 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 David Phan's NPI number?

The NPI number for David Phan is 1972099307. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is David Phan located?

David Phan practices at 1753 E 95th St Ste B-100, Chicago, IL 60617. The listed phone number is (773) 364-4938.

What is David Phan's specialty?

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

Is David Phan enrolled in Medicare?

Yes. David 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 David Phan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list David 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 David Phan was last updated on July 11, 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.