Jennifer Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33614 Issued in CA

Practice address

1899 W March LN
Stockton, CA 95207-6402

Phone

(209) 623-4700

NPI assigned

Nov 22, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zeiter Eye Medical Group IncGroup PAC ID 8527018316, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.63 of 100Reported as group

Quality

94

Improvement activities

40

Cost

43.42

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.

• Zeiter Eye Medical Group, Inc

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1730195173

  Optometrist

  Medicare reassignment Care Compare group NPD
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Stockton, CA
  • NPI 1326062084
  NPD
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Modesto, CA
  • NPI 1962426643

  Optometrist

  NPD
• Zeiter Eye Medical Group Inc Oculafacial Plastic and Reconstructive Su

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1376815605
  NPD
• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
  • NPI 1346662970
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1104369123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 MIRANDELA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576339",
            "telephone_number": "408-334-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076402",
            "telephone_number": "209-623-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Pham
• Celine Pham
• Christopher Pham
• Hanh Pham
• Jane Pham
• Jessica Phuong Trang Pham, MD
• Kevin Thang Pham I, DDS
• Kimberly Pham, DO
• Nguyen D Pham
• Thu Dan Thi Pham, PH.D.

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.