Vicky T. Pham, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6560 Issued in TX

Legal business name

VICKY T. PHAM, O.D., P.C.

Doing business as

Kindred Eyecare

Practice address

610 Sawdust Rd
Optometrist Office
The Woodlands, TX 77380-2247

Phone

(281) 292-9635

Fax

(281) 292-9638

NPI assigned

Mar 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicky Thi Pham, O.D.NPI 1891945770

Title

President

Phone

(281) 292-9635

Specialties & licenses 1

Addresses

Other names 1

• Kindred Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicky T Pham, O.D.

  • Optometrist
  • The Woodlands, TX
  • NPI 1891945770
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003931411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SAWDUST RD",
            "address_2": "OPTOMETRIST OFFICE",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802247",
            "telephone_number": "281-292-9635",
            "fax_number": "281-292-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SAWDUST RD",
            "address_2": "OPTOMETRIST OFFICE",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802247",
            "telephone_number": "281-292-9635",
            "fax_number": "281-292-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY T. PHAM, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-292-9635",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sridevi N Vemulapalli, M.D
• Shyam Sundar Venkataraman
• Maria A Verleg, N.D.
• Mari Melanie Vernier, OTR
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• Vidyadhar S Hede MD PA (Texas Pain Management)
• Erin Michelle Vierus, P.A.
• Cristina Teresa Villa Gamino, MS, RD, LD

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.