KEVIN PHAN (NPI# 1174907273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174907273 |
| Entity Type | Individual |
| Full Name | KEVIN PHAN |
| Practice Address |
165 East 87th St 1rw New York CA 10128 |
| Practice Telephone | 5103968755 |
| Mailing Telephone | 5103968755 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 008319 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1629586706 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 9800 Vesper Ave Unit 142, Panorama City, CA 91402-1093 | 2018-01-11 |
| 1013335785 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 504 N Forbes Ave, Montebello, CA 90640-3732 | 2014-03-31 |
| 1922238385 | Kevin Vu Phan | Dentist | 5530 W Grand Pkwy S, Suite 100, Richmond, TX 77406-5802 | 2009-07-20 |
| 1912079906 | Kevin Huy Phan | Chiropractor | 1820 Professional Dr Ste 2, Sacramento, CA 95825-2120 | 2006-11-14 |
| 1649807876 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-26 |
| 1083247225 | Kevin Phan | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-02-17 |
| 1932740610 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-10-03 |
| 1225532005 | Kevin Taiduc Phan | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1033539150 | Kevin Ht Phan | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2014-04-17 |
| Street Address |
165 EAST 87TH ST 1RW |
| City | NEW YORK |
| State | CA |
| Zip Code | 10128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1437767167 | Irene Byun | Optometrist | 183 Mott St Apt 5c, New York, NY 10012-4597 | 2020-07-20 |
| 1841814043 | Zhongyue Hu | Optometrist | 33 W 42nd St Rm 1128, New York, NY 10036-8005 | 2020-06-03 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1609429414 | Satija Vision Care Optometry, P.C. | Optometrist | 404 E 117th St Fl 1, New York, NY 10035-5020 | 2019-07-21 |
| 1053973826 | Tara M. Mahvelati | Optometrist | 33 W 42nd St - Suny College of Optometry, New York, NY 10036-8005 | 2019-07-02 |
| 1003476870 | Matthew C Burke | Optometrist | 110 E 40th St Fl 6, New York, NY 10016-1801 | 2019-06-14 |
| 1982263265 | Mina Chen | Optometrist | 345 W 58th St Apt 2b, New York, NY 10019-1130 | 2019-06-10 |
| 1679031413 | West Side Eye Specs LLC | Optometrist | 2165 Broadway, New York, NY 10024-6603 | 2019-03-12 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.