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

Dr. Trang D Phan, OD

Individual provider Optometrist · NPI 1407817265

Dr. Trang D Phan, OD is an Optometry in Temecula, California. Graduated from Illinois College of Optometry at Chicago in 2004, 22 years ago. Practices with First Optometric Care of Northern California PC, an 18-clinician group and accepts Medicare assignment. Licensed in California, Ohio and Wisconsin.

Years since qualifying
22
Trained at
Illinois College of Optometry at Chicago
Licensed in
CA, OH, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

31573 Rancho Pueblo Rd Ste 101
Temecula, CA 92592-4854
Phone: (951) 302-5580
Fax: (951) 302-5581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34912TLG (CA)
Optometrist Taxonomy 152W00000X · Licence 5488 (OH)
Optometrist Taxonomy 152W00000X · Licence 21354-875 (WI)

Record details

NPI number1407817265
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address518 West Ave, Tallmadge, OH 44278-2117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2004 (22 years in practice)
Group practice First Optometric Care Of Northern California Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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