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

Johnny Phan, OD

Individual provider Optometrist · NPI 1700268448

Johnny Phan, OD is an Optometrist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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

990 U.s 287 Frontage Rd #109
Mansfield, TX 76063
Phone: (817) 453-4682
Fax: (817) 453-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8720 (TX)

Record details

NPI number1700268448
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing address7552 Juliet Ln, Fort Worth, TX 76137-1096

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