Thuy-Loan Phan
Thuy-Loan Phan is an Optometry in Laurel, Maryland. Qualified in 2015, 11 years ago. Practices with South County Community Health Center Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 11
- Licensed in
- MD
- In the registry since
- 2015
Practice location Address checks out
14700 Baltimore Ave Ste 109Laurel, MD 20707-4877
Phone: (301) 245-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence DA2502 (MD) |
|---|
Record details
| NPI number | 1871968453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 8, 2015 |
| Last updated in NPPES | December 8, 2015 |
| Mailing address | 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | South County Community Health Center Inc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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