DR. TYLER PHAN (NPI# 1306250931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306250931 |
| Entity Type | Individual |
| Full Name | DR. TYLER PHAN |
| Credential | O.D. |
| Practice Address |
4487 3rd Ave Fl 6 Bronx NY 10457-1526 |
| Practice Telephone | 7189606389 |
| Mailing Telephone | 7189606389 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
TUV008145 | NY | Eye and Vision Services Providers |
| Street Address |
4487 3RD AVE FL 6 |
| City | BRONX |
| State | NY |
| Zip Code | 10457-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691866 | Eao Vision Services of Brooklyn Inc | Eyewear Supplier (Equipment, not the service) | 4487 3rd Ave Fl 6, Bronx, NY 10457-1526 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003041039 | Deborah Esposito | Optometrist | 26 Holly Pl, Bronx, NY 10465-3812 | 2009-05-19 |
| 1740402205 | Pelham Parkway Vision Center Inc | Optometrist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2007-05-03 |
| 1538603626 | James Francis Fitzpatrick | Optometrist | 3288 Agar Pl, Bronx, NY 10465-1302 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267977 | Monroe Visions | Optometrist | 1 Preshburg Blvd Unit 1, Monroe, NY 10950-3066 | 2019-04-16 |
| 1548823537 | Brooklyn Optical | Optometrist | 505 Flushing Ave Ste 1c, Brooklyn, NY 11205-1688 | 2019-04-16 |
| 1124541370 | Ossining Family Optometry Pllc | Optometrist | 57 Croton Ave # 3, Ossining, NY 10562-4981 | 2017-07-19 |
| 1730552308 | The Learning and Achievement Center | Optometrist | 24 Satmar Dr, Suite 102, Monroe, NY 10950-6041 | 2015-11-04 |
| 1225391709 | Karen Hamann-casella | Optometrist | 14 Adams Cmns, Yaphank, NY 11980-2001 | 2012-06-20 |
| 1417229923 | Roslyn Village Vision Center | Optometrist | 1390 Old Northern Blvd, Roslyn, NY 11576-2127 | 2012-01-30 |
| 1659648939 | Viola Agnes Monus | Optometrist | 66 Lyons Rd, Scarsdale, NY 10583-5724 | 2011-11-30 |
| 1487938791 | Robin Basalla | Optometrist | 402 Pacific St, Apt 4, Brooklyn, NY 11217-2290 | 2011-10-05 |
| 1811281496 | Aniko Boros | Optometrist | 8 Christa Lynn Dr, Spring Valley, NY 10977-4409 | 2011-06-01 |
| 1942500616 | Harry Levi | Optometrist | 43 Avenue A, New York, NY 10009-7324 | 2010-10-28 |
| Find all providers with the same taxonomy | ||||
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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.