MOLLY SUE PHAN O.D.
NPI 1124003397
Optometrist in Beaverton,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 10, 2005

Contact Information

11670 Sw Blakeney
Beaverton,
Post Code: 97008
Phone: (503) 330-4480
Fax: -

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Molly Sue Phan O.d. in Beaverton - Optometrist

Molly Sue Phan O.d. is a Optometrist in Beaverton, . Molly Sue Phan O.d. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Molly Sue Phan O.d. is 1124003397. The last update date is 2021-02-23.

Molly Sue Phan O.d.'s current location address is 11670 Sw Blakeney, Beaverton, . You can contact this provider via phone number (503) 330-4480 and fax number -. The mailing address for Molly Sue Phan O.d. is 11670 Sw Blakeney, Beaverton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124003397
Provider Name
MOLLY SUE PHAN O.D.
Gender
Female
Entity Type
Individual
Location Address
11670 Sw Blakeney, Beaverton,
Location Phone
(503) 330-4480
Location Fax
-
Mailing Address
3710 Sw Us Veterans Hospital Rd, Portland, Oregon(OR)
Mailing Phone
503-220-8262
Mailing Fax
-
Enumeration Date
2005-12-10
Last Update Date
2021-02-23
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
-
License No.
3100T
License State
Oregon (OR)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 152W00000X Optometrist

Optometrist

OD00004038 (Washington)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124003397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144006318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2144006318
2 + 1 + 4 + 4 + 0 + 0 + 6 + 3 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1124003397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000
1043213143 PHILIP Y PADEN EYE CARE OPTICAL
PADEN EYE CARE OPTICAL
Organization
Eyewear Supplier (Equipment, not the service) 221 W STEWART AVE
MEDFORD, Oregon (OR)
541-776-9026
1104829258 AVAMERE MEDICAL SUPPLY LLC
SIGNATURE MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition 25117 SW PARKWAY AVE
WILSONVILLE, Oregon (OR)
503-783-2483
1114920899 JEFFREY EDWARD MCWILLIAMS
Individual
Internal Medicine, Hematology & Oncology 3433 CHELAN DR
WEST LINN, Oregon (OR)
503-723-8321
1114920055 WILFRED ARTHUR GESCHKE
Individual
Internal Medicine, Hematology 10101 SE MAIN ST
PORTLAND, Oregon (OR)
503-256-3627