Phanod LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PHANOD LLC

Doing business as

City Sights Eye Care

Practice address

8407 Roosevelt Ave
Jackson Heights, NY 11372-7340

Phone

(718) 651-2020

Fax

(718) 651-2034

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Phan, ODNPI 1760635510

Title

Optometrist/ Owner

Phone

(718) 651-2020

Specialties & licenses 1

Addresses

Other names 1

• City Sights Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Phan, O.D.

  • Optometrist
  • Jackson Heights, NY
  • NPI 1760635510
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1700486800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727340",
            "telephone_number": "718-651-2020",
            "fax_number": "718-651-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727340",
            "telephone_number": "718-651-2020",
            "fax_number": "718-651-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "718-651-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Sights Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Sights Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paris Ernst Petersen, DDS
• Michael Anthony Petruzillo, DDS
• PG Rides Inc
• Huong Thi Phan, MHC
• Sandra Phan, O.D.
• Adrianna Ellice Philippe
• Whitney Winnifred Phillips, PA-C
• Magalie Pierre-Louis, M.D.
• Joanne Pierre, NP
• Brianna Pillaga

• Health Service Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.