Active NPIIndividual provider

Lilly Phan

Optometrist in Hadley, Massachusetts

NPI Number1003619966
Practice location
6 Isabel CT, Hadley, MA 01035-3529
Fax
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Last updated
August 17, 2025

Lilly Phan is an Optometrist based in Hadley, MA. Lilly Phan practices in Hadley, MA. The NPI Number for Lilly Phan is 1003619966 and holds a License No. 11370TG (TX). The current practice location address for Lilly Phan is 6 Isabel CT, Hadley, MA 01035-3529 and can be reached out via phone at 774-448-9237.

Provider Profile Details

NPI Number
1003619966
Provider Name
Lilly Phan
Provider Entity Type
Individual
Gender
Female
Address
6 Isabel CT, Hadley, MA 01035-3529
Phone Number
774-448-9237
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2025
Last Update Date
August 17, 2025
Certification Date
August 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Isabel CT
Hadley, MA 01035-3529
City
Hadley
Zip
01035-3529
Phone Number
774-448-9237
Hadley, MA 01035Get directions →

Provider Business Mailing Address Details

Address
2002 Holcombe Blvd
Houston, TX 77030-4211
City
Houston
State
TX
Zip
77030-4211
Phone Number
774-448-9237

License Information

License Number
11370TG
License State
TX
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lilly Phan?

The NPI number of Lilly Phan is 1003619966. It was assigned on March 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Lilly Phan?

Lilly Phan is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in TX under license number 11370TG.

Where does Lilly Phan practice?

The practice location is 6 Isabel CT, Hadley, MA 01035-3529. The office can be reached at 774-448-9237 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003619966 directly on the NPPES registry website.

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