DR. PAULINA PHUONG PHAN (O.D.) – Optometrist, NPI 1760453062

DR. PAULINA PHUONG PHAN (O.D.) is a healthcare provider. based in Arlington, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5445TG (TX). The NPI Number for DR. PAULINA PHUONG PHAN (O.D.) is 1760453062

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAULINA PHUONG PHAN (O.D.)
NPI
1760453062
Phone
(817) 225-2213
Address
4605 S COOPER ST
Enumeration Date
27 January 2006
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175579595
Graduation Year
1997 (29 years ago)
PAC ID
8224045984
Group Practice PAC ID
8022025782
Professional Enrollment ID
I20060321000549
Address ID
TX760175827AR4605XSTXX400
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

3,128 OPTOMETRY in TX

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Provider Addresses for DR. PAULINA PHUONG PHAN (O.D.)

  • Vision Expo, 4605, South Cooper Street, Arlington, Tarrant County, Texas, 76017, United States

    ARLINGTON, TX 760175827

    Phone: (817) 225-2213

    Fax: (817) 465-1778

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $2,052.

Total Amount is formed as General ($2,052) + Research ($0) + Ownership ($0) = $2,052.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($802).

Total Amount

$2,052

General + Research + Ownership

Payments

59

Total payment records

General Amount

$2,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2006-03-21

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
I20060321000549IOptometryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2822$0
92014Established patient complete exam of visual system2525$0
92134Imaging of retina1312$0
92250Photography of the retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 76017)

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Provider's Procedures

DR. PAULINA PHUONG PHAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92083Measurement of field of vision during daylight conditions5337

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: 8022025782View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the standard ID for DR. PAULINA PHUONG PHAN (O.D.) in the U.S.?
In the U.S., DR. PAULINA PHUONG PHAN (O.D.) is identified by NPI 1760453062.
Quick check: is DR. PAULINA PHUONG PHAN (O.D.) active?
Public NPPES data shows DR. PAULINA PHUONG PHAN (O.D.) with an active NPI status right now.
Which specialty label fits DR. PAULINA PHUONG PHAN (O.D.)?
NPPES ties DR. PAULINA PHUONG PHAN (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. PAULINA PHUONG PHAN (O.D.) tied to Arlington, Texas?
If you are local to Arlington, Texas, DR. PAULINA PHUONG PHAN (O.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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