DR. KELLY PHUONG PHAN (NPI# 1760611248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760611248 |
| Entity Type | Individual |
| Full Name | DR. KELLY PHUONG PHAN |
| Credential | O.D. |
| Practice Address |
18700 Limestone Commercial Dr Pflugerville TX 78660-6544 |
| Mailing Address |
3810 Concord Dr Round Rock TX 78665-1314 |
| Practice Telephone | 5129901440 |
| Practice Fax Number | 5129903691 |
| Mailing Telephone | 4057612872 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7380T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721940 | Kelly Myanh Phan | Internal Medicine | Scott and White Hospital, 2401 South 31st Street, Temple, TX 76508-0001 | 2008-06-01 |
| 1306400783 | Kelly D Phan | Pharmacist | 2514 Berryessa Rd, San Jose, CA 95132-2947 | 2019-05-01 |
| 1295266823 | Kelly Phan | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Bcm 320, Houston, TX 77030-3411 | 2017-03-24 |
| 1134553381 | Kelly Nguyen Phan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-08-23 |
| Street Address |
18700 LIMESTONE COMMERCIAL DR |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266523 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-01-23 |
| 1013252451 | Kevin Charles Henderson | Pharmacist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2012-12-11 |
| 1144515222 | Jim Konopka | Pharmacist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2011-06-16 |
| 1437442266 | Kp Eyecare, Pllc | Clinic/Center | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2011-05-26 |
| 1508095092 | Target Independent Doctor of Optometry | Optometrist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-07-07 |
| 1598903387 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| 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 |
|---|---|---|---|---|
| 1659865749 | Great Hills Eye Care, PC | Optometrist | 1901 Kelly Ln Ste A, Pflugerville, TX 78660 | 2018-06-21 |
| 1942721576 | Paul Quang Nguyen | Optometrist | 1512 Town Center Dr Ste 500, Pflugerville, TX 78660-7683 | 2017-07-05 |
| 1174717854 | Michael P Hobuss, Optometrist, P.C. | Optometrist | 15300 Fm 1825 # B, Suite 111, Pflugerville, TX 78660-2603 | 2007-09-05 |
| 1275500035 | Amie R Bethel | Optometrist | 16303 Yellow Sage St, Pflugerville, TX 78660-3529 | 2006-03-01 |
| 1043211535 | Michael P Hobuss | Optometrist | 15300-b Fm 1825, Ste 111, Pflugerville, TX 78660-8066 | 2005-08-09 |
| 1710591789 | Melissa Paola Silverio | Optometrist | 1512 Town Center Dr Ste 500, Pflugerville, TX 78660-7683 | 2020-09-07 |
| 1619432002 | Ashish Patel | Optometrist | 1901 Kelly Ln Ste A, Pflugerville, TX 78660-5976 | 2019-02-10 |
| 1437530425 | Rachel Morris Adcock | Optometrist | 1512 Town Center Dr, Suite 500, Pflugerville, TX 78660-7678 | 2015-06-15 |
| 1821301177 | Nathan R Garcia, Od and Scott L Snowberger, Od, Pa | Optometrist | 1512 Town Center Dr, Suite 500, Pflugerville, TX 78660-7678 | 2010-07-15 |
| 1508095092 | Target Independent Doctor of Optometry | Optometrist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-07-07 |
| Find all providers in PFLUGERVILLE | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
Please comment or provide details below to improve the information on DR. KELLY PHUONG PHAN.
| 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.