Phan, Anh-Thu Nguyen

Phan, Anh-Thu Nguyen is an individual health care provider with primary practice located at 5219 Jule Star Dr , Centreville VA 20120-3019. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Phan, Anh-Thu Nguyen can be contacted via phone (571) 236-6754.

Contact Information

Primary practice address
5219 Jule Star Dr Centreville VA 20120-3019
Phone: (571) 236-6754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1868 Maryland
Eye and Vision Services Providers / Optometrist 152W00000X VUT006531 New York
Eye and Vision Services Providers / Optometrist 152W00000X OEG000576 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 0618001309 Virginia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618001309 Virginia
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 0618001309 Virginia

Profile Details

NPI number 1952388498
LBN Legal business name Phan, Anh-Thu Nguyen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Feb 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952388498 NPPES
Other 7690540 AETNA PPO
Other 139264 AETNA PPO
Other 146954 AETNA PPO
Other 3577168 AETNA PPO
Other J785 AETNA PPO
Other P00272543 AETNA PPO
Other 2129999 AETNA PPO

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