Bao Phan

Optometrist · Sanford, FL

Individual Active NPI

NPI number 1982019618

Practice location

2053 WP Ball Blvd
Sanford, FL 32771
Phone
(407) 322-9176

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NPI record

NPI
1982019618
Entity type
Individual (Type 1)
Enumeration date
June 20, 2014
Last updated
June 20, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPC 4911 FL

About Bao Phan

Bao Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2053 WP Ball Blvd, Sanford, FL 32771. The NPI number 1982019618 was assigned on June 20, 2014 and the record was last updated on June 20, 2014.

Bao Phan lists a license in the registry: #OPC 4911 (FL) 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 Bao Phan?

The NPI number is 1982019618.

What is the phone number of Bao Phan?

The phone number listed for the practice location is (407) 322-9176.

Where is Bao Phan located?

2053 WP Ball Blvd, Sanford, FL 32771.

What is the taxonomy code for Bao 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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