Vy Pham OD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VY PHAM OD INC.

Practice address

1200 Artesia Blvd Ste 100
Hermosa Beach, CA 90254-2755

Phone

(310) 938-4266

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Vy Pham, ODNPI 1417485624

Title

Practice Owner/ Optometrist

Phone

(310) 938-4266

Specialties & licenses 1

Addresses

Other names 1

• Eyes of Hermosa Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Vy Pham, OD

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1417485624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1043986383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ARTESIA BLVD STE 100",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542755",
            "telephone_number": "310-938-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ARTESIA BLVD STE 100",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542755",
            "telephone_number": "310-938-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VY PHAM OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VY",
        "authorized_official_title_or_position": "PRACTICE OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "310-938-4266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Hermosa Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Visionary Optometry Inc.
• Mary Frances Vollucci, PHARM.D.
• Vanessa C Volpicelli, LMFT
• Jessica Vu, B.F.A., BCABA
• Joanna Vuong, O.D.
• Kelly Condon Waggoner, PSY.D.
• Danielle Wagoner, MA, BCBA
• Lisa Deanne Waldman, PH.D.
• Kacey Walker, AMFT
• Mignon Walker, MD

• Optometrist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.