Individual provider Active NPI

Hien Pham

  • Optometrist
  • Hanover, MD
National Provider Identifier
1073964359
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2535 Issued in MD
Practice address
7000 Arundel Mills Cir Ste 404
Hanover, MD 21076-1293
Phone
(410) 799-2770
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2535 MD Primary

Addresses

Primary practice location

7000 Arundel Mills Cir Ste 404
Hanover, MD 21076-1293

Mailing address

3539 Sheffield Manor Ter Apt 202
Silver Spring, MD 20904-7403
Phone (484) 904-7395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161117000072 MD Practitioner - Optometry 6800175795 Reassigns benefits to 1 organization
I20240914000250 DC Practitioner - Optometry 6800175795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jul 5, 2024 Accepting new patients
Visionworks Inc Past Accepting new patients
Visionworks Inc. Past Accepting new patients

Locations

169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

11110 Mall Cir
Waldorf, MD 20603
Phone (301) 705-8383

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1073964359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 SHEFFIELD MANOR TER APT 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047403",
            "telephone_number": "484-904-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 ARUNDEL MILLS CIR STE 404",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761293",
            "telephone_number": "410-799-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HIEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.