IndividualActiveAccepts Medicare
David Phan, OD
NPI 1972099307 · Optometrist · Chicago, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972099307
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 046.011205 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
1753 E 95th St Ste B-100
Chicago, IL 60617
Phone: (773) 364-4938
Street-level locationGet directions
Mailing address
4840 N Sheridan Rd Apt 1
Chicago, IL 60640-4048
Additional practice locations (4)
- 205 W 87th St Ste DChicago, IL 60620-1321Phone: (773) 496-5433
- 1400 W 47th StChicago, IL 60609-3232Phone: (773) 640-5384
- 11750 S Marshfield AveChicago, IL 60643-4904Phone: (773) 568-3479
- 4741 W Cermak RdCicero, IL 60804-2508Phone: (708) 391-1763
Registry dates
- Enumerated
- 2018-07-09
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.