DR. KEVIN GIA-MINH PHAN OD NPI 1164065959

NPI Information

  • NPI: 1164065959
  • Provider Name: DR. KEVIN GIA-MINH PHAN, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12000 SE 82ND AVE STE 2193
    HAPPY VALLEY, OR
    ZIP 97086
  • Phone: (503) 654-6217

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NPI Details

DR. Kevin Gia-minh Phan, OD is an optometrist in Happy Valley, OR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Kevin Gia-minh Phan, OD NPI is 1164065959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12000 SE 82ND AVE STE 2193
HAPPY VALLEY, OR
ZIP 97086-746
Phone: (503) 654-6217
Fax: (503) 654-9335

The NPI 1164065959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
  • Microfluid analysis of tears (HCPCS:83861)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)

The enumeration date for this NPI number is 10/24/2019 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist60964432WASHINGTONNo
2152W00000XOptometrist4708OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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