Target Independent Doctor of Optometry

NPI #1508095092 in Pflugerville, Texas

Provider Information

NPI Number: 1508095092
Entity Type: Organization
Organization Name: Target Independent Doctor of Optometry
Primary Specialty: Optometrist
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 18700 LIMESTONE COMMERCIAL DR
City: Pflugerville
State: Texas
ZIP Code: 78660-6544
Phone: (512) 990-1440

Authorized Official

Name: DR. KELLY PHUONG PHAN, O.D.
Title: OPTOMETRIST
Phone: (405) 761-2872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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