Individual provider · Type 1 NPI

Khai Gia Phan, OD

Optometrist · Wilton Manors, FL

NPI number 1417077710 Active

Practice location

2301 Wilton Dr Ste C1
Wilton Manors, FL 33305-1204

Fax (954) 463-7933

Mailing address

19501 NW 27th Ave
Miami Gardens, FL 33056-2521

Other practice locations

  • 19501 NW 27th Ave, Miami Gardens, FL 33056-2521 · (305) 974-2588

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOPC3501 (FL)

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 1417077710

Khai Gia Phan, OD's National Provider Identifier is 1417077710, issued on Mar 30, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Wilton Manors, FL. The record was last updated on Oct 15, 2026.