SANDY PHAM-VANG (OD) – Corneal and Contact Management Optometrist, NPI 1689607780

SANDY PHAM-VANG (OD) is a healthcare provider. based in Champlin, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3056 (MN). The NPI Number for SANDY PHAM-VANG (OD) is 1689607780

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SANDY PHAM-VANG (OD)
NPI
1689607780
Phone
(763) 427-5474
Address
11452 MARKETPLACE DR N
Enumeration Date
9 July 2006
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7633164193
Graduation Year
2006 (20 years ago)
PAC ID
7416960885
Professional Enrollment ID
I20060802000018
Address ID
MN554291370BR7074XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Loading map...

Provider Addresses for SANDY PHAM-VANG (OD)

  • Marketplace Drive, Champlin, Hennepin County, Minnesota, 55316, United States

    CHAMPLIN, MN 553163793

    Phone: (763) 427-5474

    Type: Mailing

  • 9117, Lyndale Ave S, Bloomington, Hennepin County, Minnesota, 55420, United States

    BLOOMINGTON, MN 554203522

    Phone: (952) 885-2492

    Fax: (952) 346-2176

    Type: Location

  • 11217 COMMERCE DR N

    CHAMPLIN, MN 553163122

    Phone: (763) 427-5474

    Type: Mailing

  • 7074 BROOKLYN BLVD

    BROOKLYN CENTER, MN 554291370

    Phone: (763) 316-4193

    Fax: (763) 363-0002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($17).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2006-08-02

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
I20060802000018IOptometryMNTBD

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
92014Established patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 55316)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is SANDY PHAM-VANG (OD) identified in CMS data?
CMS-hosted NPPES data lists SANDY PHAM-VANG (OD) with NPI 1689607780.
Can I rely on SANDY PHAM-VANG (OD) being an active provider?
As of the registry snapshot, SANDY PHAM-VANG (OD) is marked active.
What is SANDY PHAM-VANG (OD)'s primary classification?
Corneal and Contact Management Optometrist is the headline specialty for SANDY PHAM-VANG (OD) here. Clinical services aligned with this taxonomy classification.
Does SANDY PHAM-VANG (OD) list a practice location?
Patients near Champlin, Minnesota may find SANDY PHAM-VANG (OD) in results; validate coverage separately.
Is the information about SANDY PHAM-VANG (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. JOHN M MUELLERLEILE (O.D.)

Corneal and Contact Management Optometrist
West Main Street, Owatonna, Steele County, Minnesota, 55060, United States
NPI: 1851397095
Richie Eye Clinic, 710, Division Street South, Northfield, Rice County, Minnesota, 55057, United States
NPI: 1982600524
River Valley Eye Professionals, 2019, Jefferson Road, Northfield, Rice County, Minnesota, 55057, United States
NPI: 1992701536
River Valley Eye Professionals, 2019, Jefferson Road, Northfield, Rice County, Minnesota, 55057, United States
NPI: 1285631895

AHMAD M FAHMY (OD)

Corneal and Contact Management Optometrist
Smiles For Life Dental of Bloomington, 9801, Dupont Avenue South, Bloomington, Hennepin County, Minnesota, 55431, United States
NPI: 1598750929
1101, 1st Street Northeast, East Gate Estates, New Prague, Scott County, Minnesota, 56071, United States
NPI: 1114912573

MARY J FEMRITE (OD)

Corneal and Contact Management Optometrist
308, South 5th Avenue East, Cold Spring, Stearns County, Minnesota, 56320, United States
NPI: 1598750952

ALYSON L BLAKSTAD (OD)

Corneal and Contact Management Optometrist
Smiles For Life Dental of Bloomington, 9801, Dupont Avenue South, Bloomington, Hennepin County, Minnesota, 55431, United States
NPI: 1427043660