Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164065959 Individual Practitioner Male Practitioner

Dr. Kevin Gia-Minh Phan , OD

Optometrist • Happy Valley, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Phan, OD is a registered healthcare professional specializing in Optometrist in Happy Valley, OR. Practice services are available at 12000 SE 82ND AVE STE 2193 under active NPI credentials.

Frequently performed procedures and clinical services include imaging of retina, established patient problem focused exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12000 Se 82nd Ave Ste 2193

Happy Valley, OR 970867746

Telephone 5036546217
Fax 5036549335
Associated Practice Facility / Clinic
🏢 Visionworks, Inc. Facility NPI 1700975745

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Happy Valley, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Happy Valley, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
1,198 541 $125.00 $39.81
92012 Established patient problem focused exam of visual system
1,068 503 $175.00 $89.93
92250 Photography of the retina
363 271 $140.00 $37.04
92235 Exam of retinal blood vessels using a special camera after injection of a dye
165 118 $250.00 $137.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
79 79 $349.00 $164.18
92014 Established patient complete exam of visual system
72 70 $275.00 $123.35
99213 Established patient office or other outpatient visit, typically 15 minutes
34 32 $159.00 $89.89
76512 Ultrasound of eye disease, growth, or structure
32 21 $175.00 $46.14
92083 Exam of visual field with extended testing
29 29 $150.00 $63.26
92133 Imaging of optic nerve
26 25 $100.00 $34.18

Medical Specialties & State Licenses

CMS Verified: 2023-09-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 4708

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA 60964432

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1609218163

Doctor of Optometry

NPI 1952527236

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 12, 2023

Registered at 12000 SE 82ND AVE STE 2193, HAPPY VALLEY, OR 970867746 (Tel: 5036546217)

NPI Profile Active October 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2019

Registered at WALLA WALLA VAMC BLDG 86, WALLA WALLA, WA 99362 (Tel: 5095255200)

📍
Updated Business Mailing Address October 24, 2019

Registered at 11084 SE 64TH AVE, PORTLAND, OR 972222319 (Tel: 5038907209)

👤
Provider Name / Credentials Updated October 24, 2019

Recorded as KEVIN PHAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Optometrist (License #60964432 in WA)

🟢
Initial NPI Registration & Enumeration October 24, 2019

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: 1164065959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2019
Last Update: September 12, 2023
Sole Proprietor: No

Mailing Address

11084 Se 64th Ave

Portland, OR 972222319

Phone: 5038907209

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.