Individual provider Active NPI

Huy Pham, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1023422334
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8399T Issued in TX
Practice address
11007 Colebrook Dr
Houston, TX 77072-1919
Phone
(281) 827-0428
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8399T TX Primary

Addresses

Primary practice location

11007 Colebrook Dr
Houston, TX 77072-1919

Mailing address

11007 Colebrook Dr
Houston, TX 77072-1919
Phone (281) 827-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000844 TX Practitioner - Optometry 4183944853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Vision Group PAGroup PAC ID 3072700137, 3 clinicians

Practice addresses (Care Compare)

2518 Richmond Ave
Houston, TX 77098-3209
Phone (713) 522-2522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8399TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Vision Group PA Optometrist CurrentSince Feb 24, 2021 Accepting new patients

Locations

2518 Richmond Ave
Houston, TX 77098
Phone (713) 522-2522

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1023422334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 COLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721919",
            "telephone_number": "281-827-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 COLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721919",
            "telephone_number": "281-827-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8399T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.