TARGET INDEPENDENT DOCTOR OF OPTOMETRY – Optometrist, NPI 1508095092

TARGET INDEPENDENT DOCTOR OF OPTOMETRY is a healthcare provider. based in Round rock, Texas. specializing in Optometrist. The organization holds a License No. 7380T (TX). The NPI Number for TARGET INDEPENDENT DOCTOR OF OPTOMETRY is 1508095092

Main info

Organization
Name
TARGET INDEPENDENT DOCTOR OF OPTOMETRY
NPI
1508095092
Phone
(405) 761-2872
Address
3810 CONCORD DR
Authorized Official
DR. KELLY PHUONG PHAN OPTOMETRIST O.D.
Enumeration Date
7 July 2009
Last Update Date
7 July 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for TARGET INDEPENDENT DOCTOR OF OPTOMETRY

  • 3810, Concord Drive, Lakeside, Round Rock, Williamson County, Texas, 78665, United States

    ROUND ROCK, TX 786651314

    Phone: (405) 761-2872

    Type: Mailing

  • Target, 18700, Limestone Commercial Drive, Stone Hill Town Center, Pflugerville, Travis County, Texas, 78660, United States

    PFLUGERVILLE, TX 786606544

    Phone: (512) 990-1440

    Fax: (512) 990-3691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78665)

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Reviews

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Frequently asked questions

What is TARGET INDEPENDENT DOCTOR OF OPTOMETRY's NPI number?
TARGET INDEPENDENT DOCTOR OF OPTOMETRY's NPI is 1508095092 — the number used across U.S. healthcare to identify this provider.
Is TARGET INDEPENDENT DOCTOR OF OPTOMETRY shown as active in public data?
Registry records indicate TARGET INDEPENDENT DOCTOR OF OPTOMETRY maintains an active NPI.
How would a patient describe TARGET INDEPENDENT DOCTOR OF OPTOMETRY's focus?
For TARGET INDEPENDENT DOCTOR OF OPTOMETRY, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is TARGET INDEPENDENT DOCTOR OF OPTOMETRY located near Round Rock?
TARGET INDEPENDENT DOCTOR OF OPTOMETRY currently maps to Round Rock, Texas in this extract.
Does TARGET INDEPENDENT DOCTOR OF OPTOMETRY accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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