Individual
NHI NGUYET PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
316 W 161ST ST, WESTFIELD, IN 46074-8566
(317) 867-0555
(317) 867-0558
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004131
IN
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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