SANDY PHAM-VANG (NPI# 1689607780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689607780 |
| Entity Type | Individual |
| Full Name | SANDY PHAM-VANG |
| Credential | OD |
| Practice Address |
9117 Lyndale Ave S Bloomington MN 55420-3522 |
| Mailing Address |
11452 Marketplace Dr N Champlin MN 55316-3793 |
| Practice Telephone | 9528852492 |
| Practice Fax Number | 9523462176 |
| Mailing Telephone | 7634275474 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3056 | MN | Eye and Vision Services Providers |
| Street Address |
9117 LYNDALE AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367423 | Yun-sen Ralph Chu | Ophthalmology | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2005-09-27 |
| 1003438797 | Jacob Victor Sander | Student in an Organized Health Care Education/Training Program | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2020-05-15 |
| 1649839101 | Carissa Marie Hintz | Optometrist | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2019-06-10 |
| 1427502749 | Marc William Harrie | Optometrist | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2016-08-04 |
| 1083885081 | Chu Surgery Center, LLC | Clinic/Center | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2008-03-18 |
| 1407977762 | Chu Laser Eye Institute, Pa | Specialist | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2007-04-03 |
| 1063569465 | Danford William Davis | Optometrist | 9117 Lyndale Ave S, Bloomington, MN 55420 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133911 | Perry Sampanis | Optometrist | 2806 E Pine Ln, Bloomington, IN 47401-4424 | 2006-04-13 |
| 1730174822 | Benjamin J Fogal | Optometrist | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2005-09-14 |
| 1952928558 | Joselyn Dlouhy | Optometrist | 744 E 3rd St, Bloomington, IN 47405-3603 | 2020-06-30 |
| 1154851970 | Michael Daniel Scheidt | Optometrist | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2017-06-14 |
| 1205249620 | Mark Buboltz | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2014-06-03 |
| 1295097277 | Katherine Ann Montealegre | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2012-06-14 |
| 1134416605 | Thomas L Elton | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2011-07-06 |
| 1356675540 | The Trustees of Indiana University | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405-3635 | 2009-09-22 |
| 1548499676 | Tara Rae Barth | Optometrist | 9801 Dupont Ave S, Ste 200, Bloomington, MN 55431-3100 | 2009-07-10 |
| 1952452674 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2007-01-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on SANDY PHAM-VANG.
| 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.