Tram Mai Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-D77 Issued in AL

Practice address

800 Oxford Exchange Blvd
Oxford, AL 36203-3465

Phone

(256) 419-2002

NPI assigned

Jun 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• America's Best Contacts & Eyeglasses

  • Optician
  • Oxford, AL
  • NPI 1104121748
  NPD (past)

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1033648183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 MILLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075531",
            "telephone_number": "864-569-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OXFORD EXCHANGE BLVD",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362033465",
            "telephone_number": "256-419-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRAM",
        "middle_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansiben Patel
• Patrick a Bernardi DMD Ms PC
• Patrick F. Ballard DMD PC
• Joe Lane Patterson, M.S. ,ATC
• Mindy Pettus, LPTA
• Physicians Care, LLC
• Physicians Choice Dialysis of Oxford, LLC (PCD - Oxford)
• Physicians Open MRI LLC
• Jennifer Lynn Pierce, LPN
• Marvin Eugene Poland, D.D.S.

• Optometrist in Oxford, AL
• Providers in Oxford, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.