Privacy Policy for Eyeconic Optometry

Operated by:

Tiffany H Phan OD INC

Located inside Costco Marysville

1214 N Beale Rd, Marysville, CA

Effective Date: July 10, 2025

At Eyeconic Optometry, operated by Tiffany H Phan OD INC, your privacy is of utmost importance to us. This Privacy Policy outlines how we collect, use, disclose, and protect your personal and health information.

IMPORTANT DISCLAIMER:

Eyeconic Optometry, operated by Tiffany H Phan OD INC, is an independent optometry practice. We are NOT affiliated with, associated with, endorsed by, or in any way officially connected with Eyewear & Contacts | Eyeconic - The VSP In-Network Online Store , VSP, or any other entities using the name "Eyeconic" (e.g., Eyeconic by VSP, Eyeconic eyewear). Our practice is distinct and operates independently inside Costco Marysville. Any products or services offered by Eyewear & Contacts | Eyeconic - The VSP In-Network Online Store or VSP are separate from those provided by Eyeconic Optometry, operated by Tiffany H Phan OD INC.

Our Commitment to Your Privacy

We are committed to protecting the privacy and security of your Protected Health Information (PHI) and other personal data. This policy describes our practices regarding the collection, use, and disclosure of your information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.

Information We Collect

We collect various types of information to provide you with comprehensive optometric care. This may include:

Protected Health Information (PHI):

Demographic Information: Name, address, phone number, date of birth, email address, gender.
Medical History: Past medical conditions, family medical history, current medications, allergies.
Ophthalmic History: Previous eye conditions, vision problems, eye surgeries, contact lens history.
Insurance Information: Insurance provider, policy number, group number, subscriber information.
Examination Records: Results of eye exams, diagnoses, prescriptions (glasses, contact lenses, medications), treatment plans.
Billing and Payment Information: Financial information related to services rendered and payments made.

Other Personal Information:

Appointment Information: Dates and times of appointments.
Communication Preferences: How you prefer to receive communications from us.

How We Use Your Information

We use your information for the following purposes:

Treatment: To provide you with optometric care, diagnose and treat eye conditions, and manage your vision health.
Payment: To bill for services rendered, process insurance claims, and collect payments.
Healthcare Operations: To manage our practice, improve the quality of care, conduct quality assessment activities, and for business planning. This may include reviewing patient records for accuracy and completeness, training staff, and performing administrative functions.
Communication: To schedule appointments, send appointment reminders, provide information about your care, and respond to your inquiries.
Compliance with Law: To comply with legal and regulatory requirements, including reporting to public health authorities and responding to subpoenas or court orders.
Public Health Activities: To prevent or control disease, injury, or disability, and for public health surveillance, investigations, and interventions.
Research: With your explicit authorization, your de-identified information may be used for research purposes.
Emergencies: In situations where your immediate health or safety is at risk.

Disclosure of Your Information

We may disclose your information in the following circumstances:

To You: We will provide you with access to your PHI as required by law.
Treatment, Payment, and Healthcare Operations: As described above, we share information with staff involved in your care, billing, and practice management.
Business Associates: We may share your information with third-party vendors (e.g., billing companies, IT service providers) who perform services on our behalf. These business associates are legally bound by contracts to protect your PHI and comply with HIPAA.
Family Members/Personal Representatives: With your explicit permission, or if we deem it to be in your best interest in an emergency situation, we may share relevant information with your family members or personal representatives involved in your care.
Other Healthcare Providers: We may share your information with other healthcare providers involved in your care (e.g., your primary care physician, specialists) to ensure coordinated treatment.
Legal and Regulatory Requirements: As required by law, such as in response to a court order, subpoena, or government request.
Public Health Activities: As required for public health purposes, such as reporting communicable diseases.
Law Enforcement: In certain limited circumstances, we may disclose information to law enforcement officials, such as in response to a warrant or to report certain crimes.
Workers' Compensation: As authorized by workers' compensation laws.
Research: With your specific authorization, for approved research studies.
Organ and Tissue Donation: Consistent with applicable law, to organizations involved in organ procurement.
Coroners, Medical Examiners, and Funeral Directors: To enable them to carry out their duties.
Correctional Institutions: If you are an inmate, for your health and the health and safety of others.

Your Rights Regarding Your PHI (HIPAA Rights)

Under HIPAA, you have the following rights concerning your PHI:

Right to Access: You have the right to inspect and obtain a copy of your PHI that we maintain. We may charge a reasonable, cost-based fee for providing copies.
Right to Request an Amendment: If you believe that your PHI is incorrect or incomplete, you may request an amendment. We may deny your request under certain circumstances, but we will provide a written explanation.
Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI made by us.
Right to Request Restrictions: You have the right to request a restriction on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to all requested restrictions, but we will consider your request carefully.
Right to Request Confidential Communications: You have the right to request that we communicate with you about your health matters in a certain way or at a certain location (e.g., by mail to a specific address, or by calling only your cell phone). We will accommodate reasonable requests.
Right to a Paper Copy of this Notice: You have the right to obtain a paper copy of this Privacy Policy upon request, even if you have agreed to receive it electronically.
Right to Opt-Out of Marketing Communications: We will not use your PHI for marketing purposes without your explicit authorization.

Our Responsibilities

We are required by law to maintain the privacy of your PHI.
We are required to provide you with this Privacy Policy outlining our duties and privacy practices.
We are required to abide by the terms of this Privacy Policy.
We are required to notify you if there is a breach of your unsecured PHI.

Security of Your Information

We implement reasonable administrative, technical, and physical safeguards to protect the confidentiality, integrity, and availability of your PHI. These measures include secure electronic health record systems, restricted access to patient data, staff training on privacy protocols, and secure storage of paper records.

Changes to This Privacy Policy

We reserve the right to amend this Privacy Policy at any time. Any changes will be effective immediately upon posting the revised policy on our website and at our practice location. We encourage you to review this policy periodically for any updates.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.

If you have any questions about this Privacy Policy or our privacy practices, please contact us at:

Eyeconic Optometry

Operated by Tiffany H Phan OD INC

Located inside Costco Marysville

1214 N Beale Rd, Marysville, CA

Email: eyeconic.optometry.tp@gmail.com

Acknowledgement of Receipt of Privacy Policy

I acknowledge that I have received and had the opportunity to review the Privacy Policy for Eyeconic Optometry, operated by Tiffany H Phan OD INC. I understand the terms outlined within this policy regarding the collection, use, and disclosure of my protected health information.

530-491-2732

Privacy Policy for Eyeconic Optometry