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Contact Information

ANH THU N PHAN, OD
5219 JULE STAR DR
CENTREVILLE, VA20120-3019
 Phone: 571-236-6754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANH THU N PHAN · (Female)

NPI # 1952388498
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/27/2005
Last updated 02/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MD License # TA1868
  • NY License # VUT006531
  • PA License # OEG000576
  • VA License # 0618001309
  • Other 3577168 AETNA HMO, ALEXANDRIA
  • Other 7690540 AETNA PPO
  • Other 139264 ANTHEM BCBS, ALEXANDRIA
  • Other 146954 ANTHEM BCBS, MANASSAS
  • Other J785 CAREFIRST BCBS
  • Other 2129999 MAMSI
  • VA Other P00272543 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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