MATTHEW PHAN (O.D.) – Optometrist, NPI 1073993606

MATTHEW PHAN (O.D.) is a healthcare provider. based in Beaumont, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8685 (TX). The NPI Number for MATTHEW PHAN (O.D.) is 1073993606

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW PHAN (O.D.)
NPI
1073993606
Phone
Not provided
Address
138 GATEWAY ST
Enumeration Date
9 June 2015
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9709452020
Graduation Year
2015 (11 years ago)
PAC ID
1759671829
Group Practice PAC ID
0345131181
Professional Enrollment ID
I20230505002517
Address ID
CO816014415GL3122XAVEX300

Contacts

Secure Messaging
BROUSSARD@TSOGATEWAY.COM
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

3,129 OPTOMETRY in TX

Provider Addresses for MATTHEW PHAN (O.D.)

  • 138 GATEWAY ST

    BEAUMONT, TX 777013706

    Phone:

    Type: Mailing

  • 9595 Six Pines Dr

    Suite 1350A

    The Woodlands, TX 773801531

    Phone: (281) 298-3755

    Fax: (281) 419-1317

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($202).

Total Amount

$449

General + Research + Ownership

Payments

10

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2023-05-05

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
I20230505002517IOptometryCOTBD

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 system206206$0
92004New patient complete exam of visual system8787$0
99213Established patient office or other outpatient visit, 20-29 minutes4743$0
99214Established patient office or other outpatient visit, 30-39 minutes4035$0
92250Photography of the retina2323$0
View full utilization report →

Insurance plans in this area (ZIP 77701)

Loading plans...

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: 0345131181View full group profile
NameSpecialtyState
-CO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
-CO

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

Does MATTHEW PHAN (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MATTHEW PHAN (O.D.) uses 1073993606.
Does the file indicate MATTHEW PHAN (O.D.) is practicing under active NPI?
Directory data currently reports MATTHEW PHAN (O.D.) as active.
What is MATTHEW PHAN (O.D.)'s specialty?
The listing groups MATTHEW PHAN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does MATTHEW PHAN (O.D.) list a practice location?
Patients near Beaumont, Texas may find MATTHEW PHAN (O.D.) in results; validate coverage separately.
Why does MATTHEW PHAN (O.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

2215 CALDER ST
NPI: 1679565352
BOX, 3D, Burgemeester Langmanweg, Bedrijventerrein Het Blek, Zelhem, Bronckhorst, Gelderland, Netherlands, 7021BL, Netherlands
NPI: 1134113558
Delaware Street, Beaumont, Jefferson County, Texas, 77706, United States
NPI: 1306893144
138, Gateway Street, Gateway Shopping Center, Beaumont, Jefferson County, Texas, 77701, United States
NPI: 1174564280
Dowlen Road, Beaumont, Jefferson County, Texas, 77707, United States
NPI: 1740393602
5854B EASTEX FWY
NPI: 1366555229
Dowlen Road, Beaumont, Jefferson County, Texas, 77707, United States
NPI: 1710094842
5854B EASTEX FWY
NPI: 1558448639
Dowlen Road, Beaumont, Jefferson County, Texas, 77707, United States
NPI: 1194897827