Phanily Eyecare, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6247TG Issued in TX

Legal business name

PHANILY EYECARE, PA

Doing business as

Perfect Vision Associates

Practice address

5846 New Territory Blvd
Sugar Land, TX 77479-5948

Phone

(281) 242-2946

Fax

(281) 242-2947

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Haotam Thuy Phan, OD

Title

Therapeutic Optometrist

Phone

(281) 242-2946

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PERFECT VISION ASSOCIATES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1194912782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 NEW TERRITORY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "284-242-2946",
            "fax_number": "281-242-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 NEW TERRITORY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "281-242-2946",
            "fax_number": "281-242-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANILY EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HAOTAM",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "281-242-2946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6247TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169663501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERFECT VISION ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Von T. Pham, O.D.
• Charles Gia Phan, M.D.
• Jeremy Phan, OD
• Sandra Kim Phan, PHARM.D
• Vincent C Phan
• Belinda Phares, FNP
• Pharm House Carrizo Springs LLC (Town Center Pharmacy)
• Pharm House Carrizo Springs LLC
• Pharma Source RX Inc
• Pharma Source RX Inc

• Optometrist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.