Katie P Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5747TG Issued in TX

Practice address

12320 Barker Cypress Rd
Suite 400
Cypress, TX 77429-8326

Phone

(281) 373-1020

Fax

(281) 373-1695

NPI assigned

Aug 23, 2005

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1063405215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD",
            "address_2": "SUITE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298325",
            "telephone_number": "281-373-1020",
            "fax_number": "281-373-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD",
            "address_2": "SUITE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298326",
            "telephone_number": "281-373-1020",
            "fax_number": "281-373-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KATIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5747TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156339701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cong Pham, PHARMD
• Cynthia Anne Pham, DO
• Gia Han Ngoc Pham, DO
• Huy Duc Pham
• Huyen Pham
• Khanh Truc Pham, PA-C
• Linh Pham, PHARMD
• Mai Thi Phuong Pham, RPH
• Shannon Quynh Pham, D.D.S
• Tam Pham, M.D.

• Optometrist in Cypress, TX
• Providers in Cypress, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.