DR. MOLLY SUE PHAN (O.D.) – Optometrist, NPI 1124003397
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MOLLY SUE PHAN (O.D.)
Stephen E. Epler Hall, 1136, Southwest Montgomery Street, University District, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97201, United States
STE 106
PORTLAND, OR 972667266
Phone: (503) 653-1442
Type: Location
11670, Southwest Blakeney Street, Vose, Beaverton, Washington County, Oregon, 97008, United States
BEAVERTON, OR 97008
Phone: (503) 330-4480
Type: Mailing
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 972392964
Phone: (503) 220-8262
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.
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-11
PECOS data refreshed: 2026-05-27
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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 97266)
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