Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA PHAM, OD
ActiveLISA PHAM, OD is a Optometrist healthcare provider located in FORT WAYNE, Indiana. NPI 1144881491 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1144881491
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2019 (7.1202613855982 yrs)
- Last Updated
- Dec 30, 2020
- License
-
18004252A (IN)
Practice Information
- Address
-
3905 N ANTHONY BLVDFORT WAYNE, IN, 468052233Browse IN providers · Browse ZIP 46805
- Phone
- 2604328409
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN A. WHITELEATHER | OD | 1497758395 |
| DAWN D. FREDERICKSON | O.D. | 1760489009 |
| DR. JAMES ERVIN BLUME | O.D. | 1831197276 |
| DR. MONA RUTH DEWART | O.D. | 1306844501 |
| DR. MARTIN R. WHITE | O.D. | 1003816943 |
| DR. KURT W. DOUGHERTY | OD | 1295727519 |
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.