Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306250931 Individual Practitioner Male Practitioner

Dr. Tyler Phan , OD

Optometrist • Newburgh, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Phan, OD is a certified Optometrist practicing in Newburgh, NY. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Phan delivers high-quality medical care to the local community at 147 LAKE ST.

Dr. Phan is affiliated with Cornerstone Family Healthcare and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

147 Lake St

Newburgh, NY 125505263

Telephone 8455638000
Associated Practice Facility / Clinic
🏢 Hudson View Pharmacy, Inc. Facility NPI 1093099038

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newburgh, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -14.9 yrs vs City Avg
City Avg: 26.9 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Newburgh, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phan (12 Years) 12 Yrs
Newburgh Specialty Average (26.9 Years) 26.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-28
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV008145

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.

Hospital & Practice Group Affiliations

Cornerstone Family Healthcare

100 Broadway, Newburgh, NY 125505514

Phone: 8455698412

Cornerstone Family Healthcare

147 Lake St, Newburgh, NY 125505263

Phone: 8455638000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Theodean Smith-Lawrence , FNP

Nurse Practitioner - Family

NPI 1003420472

Family Nurse Practitioner

Cheryll Harrison

Counselor - Addiction (Substance Use Disorder)

NPI 1003450974
Dr. Ryan Meshulam , MD

Psychiatry & Neurology - Psychiatry

NPI 1013200138

Doctor of Medicine (M.D.)

Candice Cestone , FNP-C

Nurse Practitioner - Family

NPI 1013784651

Family Nurse Practitioner (Certified)

NPI 1023038957

Doctor of Medicine (M.D.)

NPI 1033661400

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 28, 2024

Registered at 147 LAKE ST, NEWBURGH, NY 125505263 (Tel: 8455638000)

📍
Updated Business Mailing Address May 28, 2024

Registered at 2570 ROUTE 9W STE 10, CORNWALL, NY 125181370 (Tel: 8452203100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2024

Optometrist (License #TUV008145 in NY)

NPI Profile Active February 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2017

Registered at 4487 3RD AVE FL 6, BRONX, NY 104571526 (Tel: 7189606389)

📍
Updated Business Mailing Address February 17, 2017

Registered at 4487 3RD AVE FL 6, BRONX, NY 104571526 (Tel: 7189606389)

👤
Provider Name / Credentials Updated February 17, 2017

Recorded as TYLER PHAN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Optometrist (License #TUV008145 in NY)

NPI Profile Active June 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2014

Registered at 33 W 42ND ST, NEW YORK, NY 100368005 (Tel: 2129385831)

📍
Updated Business Mailing Address June 11, 2014

Registered at 7383 BOCK AVE, STANTON, CA 906802116 (Tel: 7144958806)

👤
Provider Name / Credentials Updated June 11, 2014

Recorded as TYLER PHAN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2014

Optometrist (License #TUV008145 in NY)

🟢
Initial NPI Registration & Enumeration June 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306250931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2014
Last Update: May 28, 2024
Sole Proprietor: Yes

Mailing Address

2570 Route 9w Ste 10

Cornwall, NY 125181370

Phone: 8452203100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.