Active NPI
Hoang-Quan Duong Pham, O.D.
- Corneal and Contact Management Optometrist
- Arlington, TX
National Provider Identifier
1063528370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 6631TG
- Practice address
- 5975 S Cooper St Ste 121a
Arlington, TX 76017-4400 - Phone
- (817) 557-5101
- Fax
- (817) 557-0230
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 6631TG | TX | Primary |
Addresses
Primary practice location
5975 S Cooper St Ste 121a
Arlington, TX 76017-4400
Mailing address
5975 S Cooper St Ste 121a
Arlington, TX 76017-4400
Phone (817) 557-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1063528370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5975 S COOPER ST STE 121A",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174400",
"telephone_number": "817-557-5101",
"fax_number": "817-557-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5975 S COOPER ST STE 121A",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174400",
"telephone_number": "817-557-5101",
"fax_number": "817-557-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HOANG-QUAN",
"middle_name": "DUONG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "6631TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.