VICKY THAN (OD) – Optometrist, NPI 1376116558

VICKY THAN (OD) is a healthcare provider. based in Tampa, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5980 (FL). The NPI Number for VICKY THAN (OD) is 1376116558

Main info

Female
5 Years Of Experience
Name
VICKY THAN (OD)
NPI
1376116558
Phone
(813) 286-8400
Address
7802 Citrus Park Town Center Mall
Enumeration Date
23 July 2021
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Secondary Phone
6262571249
Graduation Year
2021 (5 years ago)
PAC ID
9638553175
Group Practice PAC ID
4183151848
Professional Enrollment ID
I20220831003476
Address ID
FL346851744PA4974XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for VICKY THAN (OD)

  • 7802 Citrus Park Town Center Mall

    Tampa, FL 336253178

    Phone: (813) 286-8400

    Type: Location

  • 343 Westshore Plz

    Tampa, FL 336091812

    Phone: (813) 286-8400

    Type: Location

  • 4974 Ridgemoor Blvd

    Palm Harbor, FL 346851744

    Phone: (813) 926-5993

    Type: Location

  • 343 WESTSHORE PLZ

    TAMPA, FL 336091812

    Phone: (813) 286-8400

    Type: Mailing

  • 16230 STATE ROAD 54

    ODESSA, FL 335563729

    Phone: (813) 926-5993

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,034.

Total Amount is formed as General ($1,034) + Research ($0) + Ownership ($0) = $1,034.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($426).

Total Amount

$1,034

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,034

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-31

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
I20220831003476IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina4644$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 33625)

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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: 4183151848View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What NPI should I save for VICKY THAN (OD)?
Save NPI 1376116558 if you need a stable reference for VICKY THAN (OD).
Is VICKY THAN (OD) currently active in the NPI registry?
CMS-published data lists VICKY THAN (OD) as an active registrant.
What does VICKY THAN (OD) treat or focus on?
Patients typically see VICKY THAN (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Does VICKY THAN (OD) practice in Florida?
You will see Tampa, Florida on file for VICKY THAN (OD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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