Individual
DR. ANH-THU NGUYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001309
VA
152W00000X
Optometrist
OEG000576
PA
152W00000X
Optometrist
TA1868
MD
152W00000X
Optometrist
VUT006531
NY
152WC0802X
Corneal and Contact Management Optometrist
0618001309
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618001309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139264
ANTHEM BCBS, ALEXANDRIA
—
01
—
146954
ANTHEM BCBS, MANASSAS
—
01
—
2129999
MAMSI
—
01
—
3577168
AETNA HMO, ALEXANDRIA
—
01
—
7690540
AETNA PPO
—
01
—
J785
CAREFIRST BCBS
—
01
—
P00272543
RAILROAD MEDICARE
VA
Enumeration date
12/27/2005
Last updated
02/15/2013
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