Phan, Khai Gia

Phan, Khai Gia is an sole proprietor health care provider with primary practice located at 19501 Nw 27Th Ave , Miami Gardens FL 33056-2521. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phan, Khai Gia can be contacted 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

Health care specialties

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

Profile Details

NPI number 1417077710
LBN Legal business name Phan, Khai Gia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Mar 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417077710 NPPES
Florida MEDICAID 014191100

Popular Providers