# PHAN-TASTIC EYE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841151925
- **Authorized official:** BAO PHAN OD (OPTOMETRIST)
- **Authorized official phone:** (407) 435-3175

## Contact information

- **Practice address:** 820 OVIEDO MALL BLVD, OVIEDO, FL 32765-9348
- **Practice address phone:** (321) 348-3026
- **Mailing address:** 1488 VIA SANGRO PL, WINTER PARK, FL 32792-6243
- **Mailing address phone:** (407) 435-3175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025