Dr. Ly Phan & Associates, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0798TG Issued in TX

Legal business name

DR. LY PHAN & ASSOCIATES, P.C.

Practice address

951 W Belt Line Rd
Suite a
Desoto, TX 75115-3741

Phone

(972) 274-6600

Fax

(972) 274-6603

NPI assigned

May 1, 2009

Organization subpart

Yes

Parent organization

DR. LY PHAN & ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Ly Khac Phan, O.D.

Title

Owner

Phone

(972) 274-6600

Specialties & licenses 1

Addresses

Part of

Dr Ly Phan Associates PC

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1295969426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 QUAIL MEADOWS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023475",
            "telephone_number": "972-274-6600",
            "fax_number": "972-274-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W BELT LINE RD",
            "address_2": "SUITE A",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153741",
            "telephone_number": "972-274-6600",
            "fax_number": "972-274-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LY PHAN & ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. LY PHAN & ASSOCIATES, P.C.",
        "enumeration_date": "2009-05-01",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LY",
        "authorized_official_middle_name": "KHAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-274-6600",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "0798TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Desoto, TX
• Providers in Desoto, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.