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

Dr. Sandra Phan, OD

Individual provider Optometrist · NPI 1760635510

Dr. Sandra Phan, OD is an Optometrist in Jackson Heights, New York. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

8407 Roosevelt Ave
Jackson Heights, NY 11372-7340
Phone: (718) 651-2020
Fax: (718) 651-2034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010174 (IL)

Record details

NPI number1760635510
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 24, 2008
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address8407 Roosevelt Ave, Jackson Heights, NY 11372-7340

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