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

Kathy L Phan, OD

Individual provider Optometrist · NPI 1710019443

Kathy L Phan, OD is an Optometry in West Dundee, Illinois. Graduated from Pennsylvania College of Optometry in 2006, 20 years ago. Practices with El Paso Optical PC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Trained at
Pennsylvania College of Optometry
Licensed in
IL
In the registry since
2007
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

1520 Spring Hill Mall Lenscrafters #408
West Dundee, IL 60118-1266
Phone: (847) 426-4624
Fax: (847) 426-5334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X (IL)

Record details

NPI number1710019443
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1520 Spring Hill Mall, Lenscrafters #408, West Dundee, IL 60118-1266

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice El Paso Optical Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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