Optometrist
ASHLEY PHAN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700469236 · enumerated 2021-05-03 · record updated 2023-01-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 11649 S 4000 W STE 200, SOUTH JORDAN, UT, 84009-6048 (801) 253-3080 Google Maps Apple Maps OpenStreetMap
- Mailing address 1530 S 700 E # A, SALT LAKE CITY, UT, 84105-2102 (972) 333-3260 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Optometrist 152W00000X · Primary · License 12322408-9934 UT
- Optometrist 152W00000X · License 10237T TX
In this directory
Locations and evidence
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Practice location
SOUTH JORDAN, UT, 840096048
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.