Phan Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHAN EYECARE LLC

Practice address

11160 Veirs Mill Rd SPC G1
Wheaton, MD 20902-2542

Phone

(301) 949-3960

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Hong Van Thi Phan, OD

Title

Optometrist

Phone

(301) 949-3960

Specialties & licenses 1

Addresses

Other names 1

• Eye See You Doing business as

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1407515752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD SPC G1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD SPC G1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022542",
            "telephone_number": "301-949-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAN EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HONG VAN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-949-3960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye See You",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye See You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Paulo, PT
• Pearle Vision Wheaton
• Pediatric Associates
• Noel Vetticad Pesce, MD
• Peter a Winkelman, DDS,PA
• Hong Van Phan, OD
• Matthew Joseph Phillips, DC
• Helen Polizos
• Anabelle Pollock, L.C.S.W.-C.
• David K. Poon, DDS

• Optometrist in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.