Andrew Viet Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

817 Issued in ND

Practice address

750 23Rd Ave E
West Fargo, ND 58078-7804

Phone

(701) 281-2237

NPI assigned

Apr 25, 2024

Sex

Male

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

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Picken Welder Optometry PCGroup PAC ID 0840572822, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Picken Welder Optometry, P.C.

  • Optometrist
  • Moorhead, MN
  • NPI 1639611791
  Medicare reassignment Care Compare group NPD
• FM Optometry PLLC

  • Optometrist
  • West Fargo, ND
  • NPI 1457214496
  NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1043066608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 50TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047149",
            "telephone_number": "320-766-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 23RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787804",
            "telephone_number": "701-281-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "middle_name": "VIET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quin Peterson
• Jennifer Petrock
• Alex Yang Petterson
• Laikyn Pfeifle
• Victoria Pfingsten
• Pharmacare Inc
• Lashonada Sherrell Phipps
• Pinnacle Chiropractic and Rehab PLLC
• Laura Pladson, LPCC
• Plains Ear, Nose, Throat & Facial Plastic Surgery PC

• Optometrist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.