Tony Van Phan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX7275TG Issued in TX

Practice address

1927 E Belt Line Rd
Suite 166
Carrollton, TX 75006-5821

Phone

(972) 695-5550

Fax

(972) 417-9690

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tony Phan OD

  • Optometrist
  • Carrollton, TX
  • NPI 1215183454
  NPD (past) Authorized official
• Chelmin Yeu OD, PLLC

  • Optometrist
  • Carrollton, TX
  • NPI 1134623762
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1679737712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 WHITNEY MESA DR # 4484",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142069",
            "telephone_number": "972-695-5550",
            "fax_number": "972-417-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "SUITE 166",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "972-695-5550",
            "fax_number": "972-417-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TONY",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX7275TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216812201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thai Duy Pham, PHARM D
• Thuha Ngoc Pham, M.D.
• Tom V Pham, D.C.
• Tru Vu Pham
• Thai Phan, PHARM D
• Michelle Phelan, LPC
• Honey I Philipose, APRN, FNP-C
• Laura Phillips, M.S. CCC-SLP
• Punyawee Phillips, LMT, MMP
• Pi-Metrics LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.