Tiffany H Phan OD Inc
NPI 1134010457 · Optometrist · Marysville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiffany H Phan OD Inc is a Optometrist organization in Marysville, CA (NPI 1134010457).
Provider details
- NPI number
- 1134010457
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tiffany Phan, Ceo/Optometrist(916) 548-1575
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eyeconic Optometry
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Tiffany H Phan OD Inc's NPI number?
- Tiffany H Phan OD Inc's National Provider Identifier (NPI) is 1134010457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tiffany H Phan OD Inc?
- Tiffany H Phan OD Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tiffany H Phan OD Inc located?
- Tiffany H Phan OD Inc's practice location on file with NPPES is 1214 N Beale Rd, Marysville, CA 95901-6283.
- What is Tiffany H Phan OD Inc's phone number?
- The practice phone number listed in the NPPES registry for Tiffany H Phan OD Inc is (530) 491-2732.
- Does Tiffany H Phan OD Inc accept Medicare?
- Tiffany H Phan OD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tiffany H Phan OD Inc?
- The authorized official listed on Tiffany H Phan OD Inc's NPPES record is Tiffany Phan, Ceo/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tiffany H Phan OD Inc's NPI active?
- Yes — Tiffany H Phan OD Inc's NPI (1134010457) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.