BAO PHAN (NPI# 1982019618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982019618 |
| Entity Type | Individual |
| Full Name | BAO PHAN |
| Practice Address |
2053 Wp Ball Blvd Sanford FL 32771 |
| Practice Telephone | 4073229176 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 4911 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083787048 | Bao Long Phan | Plastic Surgery | 330 Municipal Dr, Suite 104, Richardson, TX 75080-3651 | 2006-11-16 |
| 1215597042 | Bao Phan | Pharmacist | 1538 E Chapman Ave, Orange, CA 92866-2231 | 2019-06-14 |
| Street Address |
2053 WP BALL BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235409871 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2053 Wp Ball Blvd, Sanford, FL 32771-7211 | 2012-01-12 |
| 1225463631 | Trinh T Ton | Optometrist | 2053 Wp Ball Blvd, Sanford, FL 32771-7211 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| 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 |
|---|---|---|---|---|
| 1851836761 | Truesight Eye Care Pa | Optometrist | 5420 Factors Walk Dr, Sanford, FL 32771-8526 | 2016-12-31 |
| 1780956805 | Ryan W Schott | Optometrist | 5220 Maxon Ter, Sanford, FL 32771-5440 | 2012-02-05 |
| 1588970792 | Lethu T Truong | Optometrist | 203 Seminole Towne Center Circle, #p-8, Sanford, FL 32771-7409 | 2010-08-25 |
| 1215185863 | Lauren Parrish Williams | Optometrist | 1829 Doctors Dr, Sanford, NC 27330-5067 | 2008-09-08 |
| 1386830701 | Sanford Optometric Od Pa | Optometrist | 1829 Doctors Drive, Sanford, NC 27330-5067 | 2007-09-19 |
| 1972794873 | Eye Doctors Optical Outlets Pa | Optometrist | 224 Towne Center Cir # J-07, Sanford, FL 32771-7409 | 2007-08-06 |
| 1588707541 | B and D Eyeworks | Optometrist | 203 Seminole Town Center Circle, Sanford, FL 32771 | 2007-02-15 |
| 1174683106 | Marcus Peter Frutchey IIi | Optometrist | 157 Towne Center Blvd, Sanford, FL 32771-7404 | 2006-12-11 |
| 1184794612 | Josie Velasco | Optometrist | 3661 S Orlando Dr, Sanford, FL 32773-5611 | 2006-11-09 |
| 1932279288 | Katherine H. Johnson Od | Optometrist | 3000 S Horner Blvd, Sanford, NC 27332-9644 | 2006-11-08 |
| Find all providers in SANFORD | ||||
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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.