Michelle Hoang Phan, OD

Optometrist · Edison, NJ

Individual Active NPI

NPI number 1912562034

Practice location

34-36 Progress St Ste B4
Edison, NJ 08820-1197
Phone
(732) 515-4405

Open in Google Maps

NPI record

NPI
1912562034
Entity type
Individual (Type 1)
Enumeration date
May 3, 2019
Last updated
November 1, 2021
Certified
November 1, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 27OA00698500 NJ
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (2)

  • 555 Willard Ave, Newington, CT 06111-2631 · (860) 667-6742
  • 311 Main St, Madison, NJ 07940-2338 · (973) 363-3210

About Dr. Phan

Michelle Hoang Phan, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 34-36 Progress St Ste B4, Edison, NJ 08820-1197. The NPI number 1912562034 was assigned on May 3, 2019 and the record was last updated on November 1, 2021.

Dr. Phan lists a license in the registry: #27OA00698500 (NJ) 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 Michelle Hoang Phan, OD?

The NPI number is 1912562034.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (732) 515-4405.

Where is Dr. Phan located?

34-36 Progress St Ste B4, Edison, NJ 08820-1197.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

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.

Other Optometrist providers in Edison

All Optometrist providers in Edison, NJ →