Organization
ANH-THU N. PHAN, OD, PC
Active
Other names
AP Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANH-THU N. PHAN O.D. (PRESIDENT/DIRECTOR)
(571) 236-6754
Entity
Organization
Contact information
Practice address
9665A MAIN ST, FAIRFAX, VA 22031-3739
(703) 978-2020
(703) 978-6454
Mailing address
9665A MAIN ST, FAIRFAX, VA 22031-3739
(703) 978-2020
(703) 978-6454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010069700
—
VA
01
—
DE1141
RAILROAD MEDICARE
VA
Enumeration date
12/27/2005
Last updated
02/25/2015
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