Michelle H Phan, OD
Optometrist in Edison, New Jersey
1912562034- Practice location
- 34-36 Progress St Ste B4, Edison, NJ 08820-1197
- Phone
- 732-515-4405
- Fax
- —
- Last updated
- November 1, 2021
Michelle Hoang Phan is an Optometrist based in Edison, NJ. Michelle Hoang Phan practices in Edison, NJ and has the professional credentials of OD. The NPI Number for Michelle Hoang Phan is 1912562034 and holds a License No. 27OA00698500 (NJ). The current practice location address for Michelle Hoang Phan is 34-36 Progress St Ste B4, Edison, NJ 08820-1197 and can be reached out via phone at 732-515-4405.
Provider Profile Details
- NPI Number
- 1912562034
- Provider Name
- Michelle Hoang Phan
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 34-36 Progress St Ste B4, Edison, NJ 08820-1197
- Phone Number
- 732-515-4405
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2019
- Last Update Date
- November 1, 2021
- Certification Date
- November 1, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34-36 Progress St Ste B4
Edison, NJ 08820-1197 - City
- Edison
- State
- New Jersey
- Zip
- 08820-1197
- Phone Number
- 732-515-4405
Provider Business Mailing Address Details
- Address
- 34-36 Progress St Ste B4
Edison, NJ 08820-1197 - City
- Edison
- State
- NJ
- Zip
- 08820-1197
- Phone Number
- 732-515-4405
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 27OA00698500
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michelle H Phan, OD?
The NPI number of Michelle H Phan, OD is 1912562034. It was assigned on May 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Michelle H Phan, OD?
Michelle H Phan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00698500.
Where does Michelle H Phan, OD practice?
The practice location is 34-36 Progress St Ste B4, Edison, NJ 08820-1197. The office can be reached at 732-515-4405 (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 1912562034 directly on the NPPES registry website.