Dr Niam Phan OD an Optometry Corporation
NPI 1619337110 · Optometrist · El Dorado Hills, CA
Dr Niam Phan OD an Optometry Corporation is a Optometrist organization in El Dorado Hills, CA (NPI 1619337110).
Provider details
- NPI number
- 1619337110
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Niam Phan, President(209) 380-8145
- License
- 14181 TLG (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Folsom Lake Eye Care Optometric
Registry dates
- Enumerated
- 2016-02-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Dr Niam Phan OD an Optometry Corporation's NPI number?
- Dr Niam Phan OD an Optometry Corporation's National Provider Identifier (NPI) is 1619337110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Niam Phan OD an Optometry Corporation?
- Dr Niam Phan OD an Optometry Corporation is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr Niam Phan OD an Optometry Corporation located?
- Dr Niam Phan OD an Optometry Corporation's practice location on file with NPPES is 4364 Town Center Blvd Ste 118, El Dorado Hills, CA 95762-7127.
- What is Dr Niam Phan OD an Optometry Corporation's phone number?
- The practice phone number listed in the NPPES registry for Dr Niam Phan OD an Optometry Corporation is (916) 292-9226.
- Who is the authorized official for Dr Niam Phan OD an Optometry Corporation?
- The authorized official listed on Dr Niam Phan OD an Optometry Corporation's NPPES record is Niam Phan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Niam Phan OD an Optometry Corporation's NPI active?
- Yes — Dr Niam Phan OD an Optometry Corporation's NPI (1619337110) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.