Individual
DR. JOHNNY CHIEU TAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
70146021
WA
152W00000X
Optometrist
Primary
TPG35396
CA
Other
Enumeration date
03/14/2022
Last updated
07/29/2026
Update your record
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