NPI Details
Laura T Phan, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Saratoga, CA with 20 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Laura T Phan, MD NPI is 1538366984. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2006
The provider's business location address is:
20398 BLAUER DR
SARATOGA, CA
ZIP 95070-307
Phone: (408) 502-5000
Fax: (408) 502-5505
The NPI 1538366984 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), Power Mobility Devices.
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.
- Established patient problem focused exam of visual system (HCPCS:92012)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Exam of visual field with intermediate testing (HCPCS:92082)
- Closure of tear duct opening using plug (HCPCS:68761)
- Established patient complete exam of visual system (HCPCS:92014)
- Insertion of probe into nasal tear duct (HCPCS:68810)
- Photography of content of eyes (HCPCS:92285)
- Removal of growth of eyelid (HCPCS:67840)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Reconstruction of eyelid margin (HCPCS:67950)
- Repair of tendon of upper eyelid (HCPCS:67904)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 6/29/2007 and was last updated on 11/18/2024.
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 |
| 1 | 207W00000X | Ophthalmology | | A126463 | CALIFORNIA | No |
| 2 | 207W00000X | Ophthalmology | | D72821 | MARYLAND | No |
| 3 | 207W00000X | Ophthalmology | | 4301097337 | MICHIGAN | No |
| 4 | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | A126463 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 047445200 | MEDICAID | MARYLAND | |
