Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN GIA-MINH PHAN, OD
ActiveDR. KEVIN GIA-MINH PHAN, OD is a Optometrist healthcare provider located in HAPPY VALLEY, Oregon. NPI 1164065959 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HAPPY VALLEY, OR
Registration Details
- NPI Number
- 1164065959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2019 (6.7822009861945 yrs)
- Last Updated
- Sep 12, 2023
- Licenses
-
60964432 (WA)4708 (OR)
Practice Information
- Address
-
12000 SE 82ND AVE STE 2193HAPPY VALLEY, OR, 970867746Browse OR providers · Browse ZIP 97086
- Phone
- 5036546217
- Fax
- 5036549335
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in HAPPY VALLEY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM BERT BERK JR. | O.D. | 1275630808 |
| DR. ANNE ELIZABETH BERK | O.D. | 1609920701 |
| DR. NANCY BROCK | O.D. | 1447306360 |
| DR. SAMUEL EDWARD ADELMAN | O.D. | 1043545122 |
| KIM LE | O.D. | 1881904159 |
| HAN MAI TRAN | — | 1437531522 |
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.