PHANOD LLC (NPI# 1700486800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486800 |
| Entity Type | Organization |
| Organization Name | PHANOD LLC |
| Other Organization Name | CITY SIGHTS EYE CARE |
| Practice Address |
8407 Roosevelt Ave Jackson Heights NY 11372-7340 |
| Practice Telephone | 7186512020 |
| Practice Fax Number | 7186512034 |
| Mailing Telephone | 7186512020 |
| Mailing Fax Number | 7186512034 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | SANDRA PHAN (OPTOMETRIST/ OWNER) |
| Authorized Official Telephone | 7186512020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| City Sights Eye Care | Doing Business As Name - Organization |
| Street Address |
8407 ROOSEVELT AVE |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396924346 | Jackson Heights Vision Associates | Optometrist | 8407 Roosevelt Ave, Jackson Heights, NY 11372-7340 | 2007-10-26 |
| 1760635510 | Sandra Phan | Optometrist | 8407 Roosevelt Ave, Jackson Heights, NY 11372-7340 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118412 | Trinidad D Agtarap Nurse Practitioner In Gerontology Pllc | Clinic/Center | 7116 34th Ave Apt 2b, Jackson Heights, NY 11372-1016 | 2019-01-11 |
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| 1710527981 | Bright Eyes Optometry | Clinic/Center | 51 E Prospect Ave, Mount Vernon, NY 10550-2225 | 2020-01-15 |
| 1962040618 | Long Island Integrative Medical Wellness Pllc | Clinic/Center | 1611 Merrick Rd, Merrick, NY 11566-4540 | 2019-12-12 |
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| 1285277202 | Community Conscious Cultural Events (c3e, Inc.) | Clinic/Center | 13220 116th Ave, South Ozone Park, NY 11420-2646 | 2019-10-22 |
| 1033751656 | Nolimits Nyc Corp | Clinic/Center | 2753 Coney Island Ave Fl 1, Brooklyn, NY 11235-5015 | 2019-10-15 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1821560848 | Carfora Medical Health Wellness Pllc | Clinic/Center | 412 N Country Rd Ste 10, Saint James, NY 11780-1761 | 2019-01-02 |
| 1033698790 | Perfect Child LLC | Clinic/Center | 1255 E 31st St, Brooklyn, NY 11210-4740 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.