Provider Demographics
NPI:1417006305
Name:DO, PHILIP KHAI (OD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:KHAI
Last Name:DO
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3808 W RIVERSIDE DR
Mailing Address - Street 2:#100
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4325
Mailing Address - Country:US
Mailing Address - Phone:818-843-2214
Mailing Address - Fax:818-843-4331
Practice Address - Street 1:3808 W RIVERSIDE DR
Practice Address - Street 2:#100
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4325
Practice Address - Country:US
Practice Address - Phone:818-843-2214
Practice Address - Fax:818-843-4331
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-11-30
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Provider Licenses
StateLicense IDTaxonomies
CAOPT12565TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V01482Medicare UPIN