NPI 1871968453

Thuy-Loan Phan

Practitioner Optometrist Laurel, MD

Practice location

Address: 14700 Baltimore Ave Suite 109, Laurel, MD 20707-4877
Phone: (301) 245-3903
Mailing address: 1950 Old Gallows Rd Suite 520, Vienna, VA 22182-3990

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence DA2502 (MD)

Other Optometrist providers in Maryland →

Registry record

NPI: 1871968453
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2015
Record last updated: 8 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.