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

ASHLEY PHAN

Active Sole Proprietor

ASHLEY PHAN is a Optometrist healthcare provider located in SOUTH JORDAN, Utah. NPI 1700469236 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SOUTH JORDAN, UT

Registration Details

NPI Number
1700469236
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2021 (5.2646325049507 yrs)
Last Updated
Jan 4, 2023
Licenses
12322408-9934 (UT)
10237T (TX)
Sole Proprietor
Yes

Practice Information

Address
11649 S 4000 W STE 200
SOUTH JORDAN, UT, 840096048
Browse UT providers · Browse ZIP 84009
Phone
8012533080
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in SOUTH JORDAN, UT

Name Credential NPI
DALE F HARDY O.D. 1356343487
DR. RYAN J MORTENSEN O.D. 1003818576
DR. JEFFREY L BROADHEAD O.D. 1306829569
DR. JEFFERY LOVELL MELLOR O.D., M.ED. 1518975226
DR. CARLYLE DEREK SWAIN O.D. 1184725632
SHELLY L NIELSEN OD 1699864801
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.