NPI Portal NPI Lookup & Verification

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?
Yes — as of the latest NPPES snapshot, NPI 1114078235 is active (record last updated 2007-11-23).
How do I verify Jaclyn Phan's NPI record?
Cross-check NPI 1114078235 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-23.