Active NPI
Phan-Tastic Eye Care LLC
- Optometrist
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PHAN-TASTIC EYE CARE LLC
- Practice address
- 820 Oviedo Mall Blvd
Oviedo, FL 32765-9348 - Phone
- (321) 348-3026
- NPI assigned
- Nov 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bao Phan, OD
- Title
- Optometrist
- Phone
- (407) 435-3175
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
820 Oviedo Mall Blvd
Oviedo, FL 32765-9348
Mailing address
1488 Via Sangro PL
Winter Park, FL 32792-6243
Phone (407) 435-3175
Other practice location 1
886 W St Rd 436
Altamonte Springs, FL 32714-3006
Phone (407) 618-1211
Other practice location 2
2155 Town Ctr Blvd
Orlando, FL 32837-6801
Phone (407) 240-8012
National Provider Directory
National Provider DirectoryLocations
886 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 618-0034
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sanford, FL
- NPI 1982019618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1841151925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 VIA SANGRO PL",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327926243",
"telephone_number": "407-435-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 OVIEDO MALL BLVD",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659348",
"telephone_number": "321-348-3026"
}
],
"practiceLocations": [
{
"address_1": "886 W St Rd 436",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327143006",
"country_code": "US",
"telephone_number": "407-618-1211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2155 Town Ctr Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328376801",
"country_code": "US",
"telephone_number": "407-240-8012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHAN-TASTIC EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "BAO",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "407-435-3175",
"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": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.