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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACLYN T PHAN, O.D.

Active Sole Proprietor

DR. JACLYN T PHAN, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in BOTHELL, Washington. NPI 1114078235 is currently active in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · BOTHELL, WA

Registration Details

NPI Number
1114078235
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2007 (19.605488539328 yrs)
Last Updated
Nov 23, 2007
License
3357 (WA)
Sole Proprietor
Yes

Practice Information

Address
1912 201ST PL SE
SUITE 204
BOTHELL, WA, 980128570
Browse WA providers · Browse ZIP 98012
Phone
4254856812
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X

Other Corneal & Contact Management Optometrist Providers in BOTHELL, WA

Name Credential NPI
ELIZABETH Y. CHANG O.D. 1396896833
KARUNA KIRTI BOGGAVARAPU O.D. 1649574005
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.