DR. DAVID PHAN (OD) – Optometrist, NPI 1972099307
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for DR. DAVID PHAN (OD)
4741 W Cermak Rd
Cicero, IL 608042508
Phone: (708) 391-1763
Type: Location
1400 W 47th St
Chicago, IL 606093232
Phone: (773) 640-5384
Type: Location
205 W 87th St Ste D
Chicago, IL 606201321
Phone: (773) 496-5433
Type: Location
11750 S Marshfield Ave
Chicago, IL 606434904
Phone: (773) 568-3479
Type: Location
North Sheridan Road, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60614, United States
CHICAGO, IL 606404048
Phone: (312) 330-7005
Type: Mailing
East 95th Street, Burnside, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States
CHICAGO, IL 60617
Phone: (773) 364-4938
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250123001412 | I | Optometry | VT | TBD |
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.
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 60804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | VT | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | MA | |
| O P H T H A L M O L O G Y | VT | |
| O P H T H A L M O L O G Y | NY |
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