Individual provider · Type 1 NPI

Kevin Gia-Minh Phan, OD

Optometrist · Happy Valley, OR

NPI number 1164065959 Active

Practice location

12000 SE 82nd Ave Ste 2193
Happy Valley, OR 97086-7746

Call (503) 654-6217 Map

Fax (503) 654-9335

Mailing address

11084 SE 64th Ave
Portland, OR 97222-2319

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	60964432 (WA)
Optometrist Primary	152W00000X	4708 (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 1164065959

Kevin Gia-Minh Phan, OD's National Provider Identifier is 1164065959, issued on Oct 24, 2019. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Happy Valley, OR. The record was last updated on Sep 12, 2023.