Organization
DR NIAM PHAN OD AN OPTOMETRY CORPORATION
Active
Other names
Folsom Lake Eye Care Optometric
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIAM PHAN OD (PRESIDENT)
(209) 380-8145
Entity
Organization
Contact information
Practice address
4364 TOWN CENTER BLVD STE 118, EL DORADO HILLS, CA 95762-7127
(916) 292-9226
(916) 292-9227
Mailing address
4364 TOWN CENTER BLVD, STE 118, EL DORADO HILLS, CA 95762
(916) 292-9226
(916) 292-9227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14181 TLG
CA
Other
Enumeration date
02/26/2016
Last updated
07/21/2022
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