Individual provider · Type 1 NPI

Molly Sue Phan, OD

Optometrist · Portland, OR

NPI number 1124003397 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Mailing address

11670 SW Blakeney
Beaverton, OR 97008

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XOD00004038 (WA)
Optometrist Primary 152W00000X3100T (OR)

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 e…

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About NPI 1124003397

Molly Sue Phan, OD's National Provider Identifier is 1124003397, issued on Dec 10, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2021.