Individual provider · Type 1 NPI

Jaclyn T. Phan, OD

Corneal and Contact Management Optometrist · Bothell, WA

NPI number 1114078235 Active

Practice location

1912 201st Pl SE, Suite 204
Bothell, WA 98012-8570

Specialties and licenses

TaxonomyCodeLicense
Corneal and Contact Management Optometrist Primary 152WC0802X3357 (WA)

Corneal and Contact Management Optometrist: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

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About NPI 1114078235

Jaclyn T. Phan, OD's National Provider Identifier is 1114078235, issued on Jan 16, 2007. The primary taxonomy on file is Corneal and Contact Management Optometrist (152WC0802X), and the practice location is in Bothell, WA. The record was last updated on Nov 23, 2007.