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

Dr. Kimberly Sue Phan, DO

Individual provider Optometrist · NPI 1912216987

Dr. Kimberly Sue Phan, DO is an Optometrist in Irvine, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13662A Jamboree Rd
Irvine, CA 92620-1201
Phone: (714) 508-4972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13980 (CA)

Record details

NPI number1912216987
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 24, 2010
Last updated in NPPESSeptember 24, 2010
Mailing address2555 Main St Apt 2059, Irvine, CA 92614-3200

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