JOHNNY PHAN


Address: 990 U.S. 287 Frontage Rd, #109, Mansfield, TX 76063
Phone: 8174534682

JOHNNY PHAN (NPI# 1700268448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700268448
Entity Type Individual
Full Name JOHNNY PHAN
Credential O.D.
Practice Address 990 U.S. 287 Frontage Rd
#109
Mansfield
TX 76063
Mailing Address 7552 Juliet Ln
Fort Worth
TX 76137-1096
Practice Telephone 8174534682
Practice Fax Number 8174534353
Mailing Telephone 8178995989
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 8720 TX Eye and Vision Services Providers

Other Providers JOHNNY PHAN

NPI Name Taxonomy Address Enumeration
1265965883 Johnny Minh Phan Psychiatry & Neurology Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 2017-04-10

Office Location

Street Address 990 U.S. 287 FRONTAGE RD
#109
City MANSFIELD
State TX
Zip Code 76063

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
Find all providers in zip 76063

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1932753027 Phuong Pham Optometrist 1971 U.S. 287 Frontage Rd Ste 105, Mansfield, Tx 76063, Mansfield, TX 76063-7606 2019-07-28
1174175855 Sabrina Gaan Od LLC Optometrist 287 School St Ste 140, Mansfield, MA 02048-1850 2019-07-12
1831667906 Boyd Eye Care LLC Optometrist 1560 Highway 287 N Ste 300, Mansfield, TX 76063-8824 2018-11-07
1992271480 Colston Eye Care, Pllc Optometrist 3150 E Broad St, Ste 120, Mansfield, TX 76063 2018-10-23
1083135404 Benjamin Dean Colston Optometrist 3150 East Broad Street, Suite 120, Mansfield, TX 76063 2017-07-06
1982125316 Lily Vision Pllc Optometrist 1971 Highway 287 N Ste 104, Mansfield, TX 76063-8982 2017-07-06
1124573092 Specialeyes Optical, LLC Optometrist 1106 Alexis Ct, Mansfield, TX 76063-3338 2016-08-22
1427420702 Schluterman Eye Care & Optical, Inc Optometrist 100 N Walnut Ave, Suite C, Mansfield, AR 72944-3522 2015-10-26
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

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.

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