Paulina Phan OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5445TG Issued in TX

Legal business name

PAULINA PHAN OD PA

Practice address

3837 Irving Mall
Irving, TX 75062-5159

Phone

(972) 255-6123

Fax

(972) 255-6174

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paulina Phan, O.D.

Title

Owner

Phone

(972) 255-6123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1902083173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 IRVING MALL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625159",
            "telephone_number": "972-255-6123",
            "fax_number": "972-255-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 IRVING MALL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625159",
            "telephone_number": "972-255-6123",
            "fax_number": "972-255-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINA PHAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-255-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5445TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Paudyal Adhikari, FNP
• Paul G. Hayter, O.D., P.C.
• Christabel Omolola Paul
• Rosa Paul, RBT
• Simi Paul, DDS
• Pax Physical Therapy LLC
• Maggie Lynn Payne
• Willie Bobby Payne Jr., PHARMD
• Monica Payton
• Andrew Bradford Pazandak, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.