Individual provider Active NPI

Tien Pham, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1093324493
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10008T Issued in TX
Practice address
1216 Dexford Dr
Austin, TX 78753-1602
Phone
(281) 818-3801
NPI assigned
Jul 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10008T TX Primary

Addresses

Primary practice location

1216 Dexford Dr
Austin, TX 78753-1602

Mailing address

1216 Dexford Dr
Austin, TX 78753-1602
Phone (281) 818-3801

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220901000199 TX Practitioner - Optometry 8921482498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steiner Eye Care PLLCGroup PAC ID 0840445714, 3 clinicians

Practice addresses (Care Compare)

2415 Exposition Blvd
Suite D
Austin, TX 78703-2268
Phone (512) 439-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10008TXMDChiropractor
10008TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steiner Eye Care, PLLC Optometrist CurrentSince May 10, 2022 Accepting new patients
Steiner Eye Care, PLLC Optometrist CurrentSince May 10, 2022 Accepting new patients

Locations

6111 Ranch Road 620 N
Ste 100
Austin, TX 78732
Phone (512) 439-2020

2415 Exposition Blvd
Ste D
Austin, TX 78703
Phone (512) 439-2020

6111 Ranch Road 620 N
Bldg A
Austin, TX 78732
Phone (512) 439-2020

5145 FM 620 N
Ste G-160
Austin, TX 78732
Phone (512) 439-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1093324493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DEXFORD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531602",
            "telephone_number": "281-818-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DEXFORD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531602",
            "telephone_number": "281-818-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10008T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.