IndividualActive
Ashley Phan
NPI 1700469236 · Optometrist · South Jordan, UT
Provider details
- NPI number
- 1700469236
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Student, Health Care
Eye and Vision Services Providers
Practice location
11649 S 4000 W Ste 200
South Jordan, UT 84009-6048
Phone: (801) 253-3080
Approximate (ZIP-level) locationGet directions
Mailing address
1530 S 700 E # a
Salt Lake City, UT 84105-2102
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2023-01-04
- Certified
- 2023-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.