DR. JENNIFER T. PHA M O.D.
NPI 1164599486
Optometrist in Lynnwood, WA

Q: What is Jennifer Pha M's NPI number?

The NPI number for Jennifer Pha M is 1164599486. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Jennifer Pha M's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Pha M was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006

17028 41ST PL W, LYNNWOOD, WA 98037(425) 787-0943(425) 787-0943 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jennifer T. Pha M O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER T. PHA M O.D. (NPI 1164599486) is an individual optometrist in Lynnwood, Washington, licensed in Washington (OD00004040) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164599486

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JENNIFER T. PHA MCredential: O.D.

Location Address17028 41ST PL WLynnwood, WA 98037-6969

Mailing Address17028 41st Pl WLynnwood, WA 98037-6969 · (425) 787-0943 · Fax (425) 787-0943

Phone(425) 787-0943

Fax(425) 787-0943

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164599486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WA · OD00004040✔ Licensed in CA · OPT 12971 TPA

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

17028 41ST PL W, Lynnwood, WA 98037

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Other Identifiers 2

Other4615PHWA · Regence Provider Number

Other2023PHWA · Regence Provider Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pha M's NPI number?

The NPI number for Jennifer Pha M is 1164599486. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jennifer Pha M located?

Jennifer Pha M practices at 17028 41st Pl W, Lynnwood, WA 98037. The listed phone number is (425) 787-0943.

What is Jennifer Pha M's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Pha M was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.