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Organization

TIFFANY H PHAN OD INC

Active
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Organization

TIFFANY H PHAN OD INC

Active
Other names
Eyeconic Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIFFANY H PHAN OD (CEO/OPTOMETRIST)
(916) 548-1575
Entity
Organization

Contact information

Practice address
1214 N BEALE RD, MARYSVILLE, CA 95901-6283
(530) 491-2732
(530) 491-2733
Mailing address
9985 DONA NEELY WAY, ELK GROVE, CA 95757-6436
(916) 548-1575

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
About Stedi
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