DR. TRANG D PHAN (O.D.) – Optometrist, NPI 1407817265

DR. TRANG D PHAN (O.D.) is a healthcare provider. based in Temecula, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5488 (OH). The NPI Number for DR. TRANG D PHAN (O.D.) is 1407817265

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRANG D PHAN (O.D.)
NPI
1407817265
Phone
(951) 302-5580
Address
31573 RANCHO PUEBLO RD STE 101
Enumeration Date
31 March 2006
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9513025580
Graduation Year
2004 (22 years ago)
PAC ID
8123053931
Group Practice PAC ID
6002216488
Professional Enrollment ID
I20221228000306
Address ID
CA925924835TE31573RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. TRANG D PHAN (O.D.)

  • 31573 RANCHO PUEBLO RD STE 101

    TEMECULA, CA 925924854

    Phone: (951) 302-5580

    Fax: (951) 302-5581

    Type: Location

  • West Avenue, Tallmadge Town Square Historic District, Tallmadge, Summit County, Ohio, 44278, United States

    TALLMADGE, OH 442782117

    Phone: (330) 630-9699

    Fax: (330) 630-3206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Alcon Vision LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221228000306IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92592)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002216488View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YOH
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What number should I use to identify DR. TRANG D PHAN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1407817265 for DR. TRANG D PHAN (O.D.).
Quick check: is DR. TRANG D PHAN (O.D.) active?
Public NPPES data shows DR. TRANG D PHAN (O.D.) with an active NPI status right now.
Which specialty label fits DR. TRANG D PHAN (O.D.)?
NPPES ties DR. TRANG D PHAN (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. TRANG D PHAN (O.D.)?
The directory associates DR. TRANG D PHAN (O.D.) with Temecula, California. Check all listed addresses for suites or satellite offices.
Who maintains DR. TRANG D PHAN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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