Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700469236

Ashley Phan is an Optometry in South Jordan, Utah. Qualified in 2021, 5 years ago. Practices with Davis Vision Center Associates PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
5
Licensed in
TX, UT
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

11649 S 4000 W Ste 200
South Jordan, UT 84009-6048
Phone: (801) 253-3080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 12322408-9934 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)
Optometrist Taxonomy 152W00000X · Licence 10237T (TX)

Record details

NPI number1700469236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address1530 S 700 E # A, Salt Lake City, UT 84105-2102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Davis Vision Center Associates Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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