| NPI | 1255611034 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-08-24 |
| Last Updated | 2011-08-24 |
| Authorized Official | Tricia Phan Owner Phone: 2534762874 |
| Mailing Address | 4051 Tacoma Mall Blvd Tacoma, WA 98409-7287 United States 📍 View Map |
| Primary Practice Address | 4051 Tacoma Mall Blvd Tacoma, WA 98409-7287 United States Phone: (253) 476-2874 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | WA | OD60176880 |
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About NPI 1255611034
Tricia Phan Od Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1255611034. The primary specialty listed is Optometrist. The organization is located in Tacoma, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-08-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255611034?
NPI 1255611034 belongs to Tricia Phan Od Llc, a Optometrist in Tacoma, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255611034 active?
The current status of NPI 1255611034 in the NPPES registry is Active. The record was last updated on 2011-08-24.
What specialty is NPI 1255611034?
NPI 1255611034 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255611034?
You can verify NPI 1255611034 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255611034?
The primary practice address on file for NPI 1255611034 is 4051 Tacoma Mall Blvd, Tacoma, WA 98409-7287. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255611034 issued?
NPI 1255611034 was first issued (enumerated) on 2011-08-24. The NPPES record was last updated on 2011-08-24.
Practice Location Map
Tricia Phan Od Llc is located at 4051 Tacoma Mall Blvd, Tacoma, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tricia Phan Od Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255611034. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | OD60176880 | WA |