Dr. Jaclyn T Phan, O.D.
Dr. Jaclyn T Phan is a Corneal and Contact Management Optometrist provider (Optometrist) practicing in Bothell, WA, registered in the NPPES registry with NPI 1114078235 since 2007. The credential OD stands for Doctor of Optometry. Practices at Dr. Jaclyn Phan & Associates (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1114078235 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jaclyn T Phan |
| Credential | O.D. |
| Sex | Female |
| Practice address | Bothell, WA, 98012 |
| Phone | 4254856812 |
| Enumeration date | 2007-01-16 |
| Last updated in NPPES | 2007-11-23 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152WC0802X | Corneal and Contact Management Optometrist | Primary | 3357 | WA |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Copy-ready billing details
Provider: Jaclyn Phan, O.D. NPI: 1114078235 Taxonomy: 152WC0802X (Corneal and Contact Management Optometrist) Address: Bothell, WA, 98012
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437330123 | Dr. Jaclyn Phan & Associates | Organization | Clinic/Center | Bothell, WA |
Verify this record
Cross-check NPI 1114078235 against the authoritative CMS record: view Dr. Jaclyn T Phan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1114078235 active?
How do I verify Jaclyn Phan's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-23.