DR. LY PHAN & ASSOCIATES, P.C. (NPI# 1295969426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295969426 |
| Entity Type | Organization |
| Organization Name | DR. LY PHAN & ASSOCIATES, P.C. |
| Practice Address |
951 W Belt Line Rd Suite A Desoto TX 75115-3741 |
| Mailing Address |
409 Quail Meadows Ln Arlington TX 76002-3475 |
| Practice Telephone | 9722746600 |
| Practice Fax Number | 9722746603 |
| Mailing Telephone | 9722746600 |
| Mailing Fax Number | 9722746603 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | LY KHAC PHAN (OWNER) |
| Authorized Official Telephone | 9722746600 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. LY PHAN & ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0798TG | TX | Eye and Vision Services Providers |
| Street Address |
951 W BELT LINE RD SUITE A |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313492 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2006-06-12 |
| 1558962522 | Tineshea Reshell Brown | Pharmacist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2020-11-05 |
| 1144821398 | Blane D Williams | Pharmacist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2020-11-04 |
| 1508467622 | Mistie Michelle Copeland | Pharmacist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2020-11-04 |
| 1932622305 | Jzj Vision Science Pllc | Optometrist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2017-07-18 |
| 1821135492 | Shyh Jye Wang | Optometrist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2007-01-31 |
| 1437231404 | Wal-mart Stores Texas, LLC | Technician/Technologist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| 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 |
|---|---|---|---|---|
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1609156595 | Alp Vision Care Services, Pllc | Optometrist | 1700 White Falls Dr, Desoto, TX 75115-7850 | 2011-08-23 |
| 1720384498 | Danielle Gloster | Optometrist | 1233 E Pleasant Run Rd Ste A, Desoto, TX 75115-4200 | 2011-01-28 |
| 1578666012 | Charles Arnold Foster II | Optometrist | 1233 E Pleasant Run Rd, Desoto, TX 75115-4200 | 2006-09-07 |
| 1164440335 | Gregory M Frey | Optometrist | 600 N Hampton Rd, Desoto, TX 75115-4508 | 2006-07-17 |
| 1932622305 | Jzj Vision Science Pllc | Optometrist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2017-07-18 |
| 1851692040 | Dr Charles A Foster | Optometrist | 1233 E Pleasant Run Rd, Desoto, TX 75115-4200 | 2010-11-04 |
| 1962702654 | Advanced Visioncare of Desoto Pa | Optometrist | 600 N Hampton Rd, Desoto, TX 75115-4508 | 2010-10-27 |
| 1821135492 | Shyh Jye Wang | Optometrist | 951 W Belt Line Rd, Desoto, TX 75115-3741 | 2007-01-31 |
| 1710040571 | James Kevin Smith | Optometrist | 600 N Hampton Rd, Desoto, TX 75115-4508 | 2006-12-19 |
| Find all providers in DESOTO | ||||
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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.