Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Gia-Minh Phan, OD

Individual provider Optometrist · NPI 1164065959

Dr. Kevin Gia-Minh Phan, OD is an Optometrist in Happy Valley, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2019.

Licensed in
OR, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12000 SE 82nd Ave Ste 2193
Happy Valley, OR 97086-7746
Phone: (503) 654-6217
Fax: (503) 654-9335
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4708 (OR)
Optometrist Taxonomy 152W00000X · Licence 60964432 (WA)

Record details

NPI number1164065959
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 24, 2019
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Other providers in Happy Valley