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

Dr. Jennifer T. Pha M, OD

Individual provider Optometrist · NPI 1164599486

Dr. Jennifer T. Pha M, OD is an Optometrist in Lynnwood, Washington. Practices as a sole proprietor. Licensed in California and Washington.

Licensed in
CA, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

17028 41st Pl W
Lynnwood, WA 98037-6969
Phone: (425) 787-0943
Fax: (425) 787-0943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00004040 (WA)
Optometrist Taxonomy 152W00000X · Licence OPT 12971 TPA (CA)

Record details

NPI number1164599486
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007

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