Sandra Phan, O.D.

Optometrist · Jackson Heights, NY

Individual Active NPI

NPI number 1760635510

Practice location

8407 Roosevelt Ave
Jackson Heights, NY 11372-7340
Phone
(718) 651-2020
Fax
(718) 651-2034

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NPI record

NPI
1760635510
Entity type
Individual (Type 1)
Enumeration date
October 24, 2008
Last updated
November 3, 2020
Certified
November 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046010174 IL

About Dr. Phan

Sandra Phan, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 8407 Roosevelt Ave, Jackson Heights, NY 11372-7340. The NPI number 1760635510 was assigned on October 24, 2008 and the record was last updated on November 3, 2020.

Dr. Phan lists a license in the registry: #046010174 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra Phan, O.D.?

The NPI number is 1760635510.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (718) 651-2020.

Where is Dr. Phan located?

8407 Roosevelt Ave, Jackson Heights, NY 11372-7340.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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