DR. TAN-LONG PHAM (MS, OD) – Optometrist, NPI 1699766949

DR. TAN-LONG PHAM (MS, OD) is a healthcare provider. based in Orlando, Florida. specializing in OPTOMETRY. They hold the professional credentials MS, OD. They hold a License No. OPC4085 (FL). The NPI Number for DR. TAN-LONG PHAM (MS, OD) is 1699766949

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAN-LONG PHAM (MS, OD)
NPI
1699766949
Phone
(239) 278-3600
Address
PO BOX 919771
Enumeration Date
3 November 2005
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
8443427935
Graduation Year
2002 (24 years ago)
PAC ID
8224023536
Group Practice PAC ID
3173432085
Professional Enrollment ID
I20060403000205
Address ID
FL339711576LE3415XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. TAN-LONG PHAM (MS, OD)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328919771

    Phone: (239) 278-3600

    Fax: (239) 226-4650

    Type: Mailing

  • Del Prado Boulevard South, Cape Coral, Lee County, Florida, 33990, United States

    CAPE CORAL, FL 339901710

    Phone: (239) 226-2640

    Fax: (239) 458-0178

    Type: Location

  • 3415 Lee Blvd

    Lehigh Acres, FL 339711576

    Phone: (239) 226-2640

    Fax: (239) 458-0178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,520.

Total Amount is formed as General ($1,520) + Research ($0) + Ownership ($0) = $1,520.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($474).

Total Amount

$1,520

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,520

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

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: 2006-04-03

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
I20060403000205IOptometryFLTBD

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 32891)

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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: 3173432085View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
-FL
Family PracticeNE
Internal MedicineNY
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the registry number for DR. TAN-LONG PHAM (MS, OD)?
The registry entry for DR. TAN-LONG PHAM (MS, OD) shows NPI 1699766949.
Should I treat DR. TAN-LONG PHAM (MS, OD) as an active provider?
Patients and plans typically see DR. TAN-LONG PHAM (MS, OD) as active in the national extract.
What type of care does DR. TAN-LONG PHAM (MS, OD) provide?
DR. TAN-LONG PHAM (MS, OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TAN-LONG PHAM (MS, OD)?
DR. TAN-LONG PHAM (MS, OD) shows a connection to Orlando, Florida in registry-derived data.
Why is information missing for DR. TAN-LONG PHAM (MS, OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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