Miss Tricia Phan, OD | |
4051 Tacoma Mall Blvd, Tacoma, WA 98409-7287 | |
(253) 473-6427 | |
(253) 473-9165 |
Full Name | Miss Tricia Phan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 4051 Tacoma Mall Blvd, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245334630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60176880 (Washington) | Primary |
152W00000X | Optometrist | 12852 TPL (California) | Secondary |
Provider Name | Tricia Phan Od Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255611034 PECOS PAC ID: 0941473441 Enrollment ID: O20111028000168 |
Mailing Address | Practice Location Address |
---|---|
Miss Tricia Phan, OD 4051 Tacoma Mall Blvd, Tacoma, WA 98409-7287 Ph: (253) 473-6427 | Miss Tricia Phan, OD 4051 Tacoma Mall Blvd, Tacoma, WA 98409-7287 Ph: (253) 473-6427 |
Cascade Pacific Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1314 72nd St E, Suite D, Tacoma, WA 98404 Phone: 253-531-5535 | |
Dr. Herbert Alden Blake, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Optometry Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2790 Fax: 253-968-4677 | |
Northwest Vision Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4502 S Steele St Ste 100, Tacoma, WA 98409 Phone: 253-471-7123 Fax: 253-475-1104 | |
Dr. Diana H. P. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4051 Tacoma Mall Blvd, Tacoma, WA 98409 Phone: 253-476-2874 | |
Nathan J Ho, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2913 S 38th St, Ste B3, Tacoma, WA 98409 Phone: 253-473-1050 | |
Dr. James Daniel Kaastrup I, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4502 S Steele St, Suite 200, Tacoma, WA 98409 Phone: 253-471-8369 Fax: 253-475-7767 | |
Sharon L Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Yakima Ave, Ste 100, Tacoma, WA 98405 Phone: 253-502-5965 Fax: 253-593-8410 |