Doctor Phan Eye Care Llc

LBN: Doctor Phan Eye Care Llc
Doctor Phan Eye Care Llc is an health care organization with primary practice located at 19501 Nw 27Th Ave , Miami Gardens FL 33056-2521. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Doctor Phan Eye Care Llc can be contacted via phone (305) 974-2588, or through Phan, Khai G via phone (305) 974-2588.

Contact Information

Primary practice address
19501 Nw 27Th Ave Miami Gardens FL 33056-2521
Phone: (305) 974-2588
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Khai G Doctor of Optometry (OD)
Phone: (305) 974-2588

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3501 Florida

Profile Details

NPI number 1184012668
LBN Legal business name Doctor Phan Eye Care Llc
DBA Doing business as
Authorized official Phan, Khai G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2015
Last updated Mar 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184012668 NPPES
Florida MEDICAID 014191100

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