DR. THU AI PHAN (NPI# 1679172142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679172142 |
| Entity Type | Individual |
| Full Name | DR. THU AI PHAN |
| Credential | OD |
| Practice Address |
1909 W Malvern Ave Fullerton CA 92833-2177 |
| Practice Telephone | 7149928020 |
| Mailing Telephone | 7149928020 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34712 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750498 | Thu My Phan | Social Worker | 47825 Oasis St, Indio, CA 92201-6950 | 2020-04-29 |
| 1245779016 | Thu Phan | Registered Nurse | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2017-02-14 |
| 1487043261 | Thu Phan | Pharmacist | 40101 Monterey Ave, Rancho Mirage, CA 92270-3261 | 2015-01-15 |
| 1942594114 | Thu Hoang Phan | Pharmacist | 6215 Santa Teresa Blvd, San Jose, CA 95119-1436 | 2011-06-06 |
| Street Address |
1909 W MALVERN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538155932 | Alvin Arellano | Optometrist | 1909 W Malvern Ave, Fullerton, CA 92833-2177 | 2005-09-21 |
| 1114553518 | Chris Hsieh | Optometrist | 1909 W Malvern Ave, Fullerton, CA 92833-2177 | 2020-03-17 |
| 1982013843 | Gewon Shu | Optometrist | 1909 W Malvern Ave, Fullerton, CA 92833-2177 | 2014-08-05 |
| 1275653222 | Alvin Arellano, O.d., Inc. | Optometrist | 1909 W Malvern Ave, Fullerton, CA 92833-2177 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655596 | Jaquelyn Rojas | Optometrist | 400 N Acacia Ave Unit C22, Fullerton, CA 92831-4076 | 2017-12-22 |
| 1962824391 | Maggie Jan | Optometrist | 2443 E Chapman Ave, Fullerton, CA 92831-3603 | 2014-01-21 |
| 1093156150 | Karen H. Lin | Optometrist | 2934 Wisteria Ln, Fullerton, CA 92833-4958 | 2013-07-17 |
| 1962784314 | Maria A Choi | Optometrist | 2134 Baywood Dr, Fullerton, CA 92833-1255 | 2011-09-12 |
| 1386892735 | Pochi Huang | Optometrist | 1520 Baronet Pl, Fullerton, CA 92833-1501 | 2008-08-28 |
| 1902069859 | Chaitali Parekh | Optometrist | 2217 Terraza Pl, Fullerton, CA 92835-3311 | 2008-07-09 |
| 1922123926 | Loren D. Rude | Optometrist | 2575 Yorba Linda Blvd # D, Fullerton, CA 92831-1615 | 2007-03-20 |
| 1598814436 | Sung Soo Kim | Optometrist | 1028 Rosecrans Ave, Fullerton, CA 92833-1948 | 2007-01-09 |
| 1750446001 | John Nguyen | Optometrist | 1912 W Commonwealth Ave Ste D, Fullerton, CA 92833-3040 | 2006-12-27 |
| 1477618148 | Vernon Sanford Agarth Jr. | Optometrist | 1912 W Commonwealth Ave, Suite D, Fullerton, CA 92833-3040 | 2006-12-23 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.