Active NPI
Xuan Thanh Thi Pham, O.D.
- Optometrist
- Dublin, OH
National Provider Identifier
1134421035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5970
- Practice address
- 5053 Tuttle Crossing Blvd
Dublin, OH 43016-1533 - Phone
- (614) 760-5737
- NPI assigned
- Nov 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5970 | OH | Primary |
Addresses
Primary practice location
5053 Tuttle Crossing Blvd
Dublin, OH 43016-1533
Mailing address
6899 Lakebrook Blvd
Columbus, OH 43235-2724
Phone (602) 206-1580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
391 Lincoln Park Dr
New Lexington, OH 43764-1080
Phone (740) 342-1784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5970 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Stephanie McDonald OD LLC | Optometrist | Current | Accepting new patients |
| Newark Vision Care LLC | Optometrist | Current | Accepting new patients |
| Mount Vernon Eye Care | Optometrist | Past | Accepting new patients |
| Robert J. Dittoe, O.D., Inc. | Optometrist | Past | Accepting new patients |
Locations
391 Lincoln Park Dr
New Lexington, OH 43764
Phone (740) 342-1784
7 Commercial Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1181
Organizations & group practices 5
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.
-
- Optometrist
- New Lexington, OH
- NPI 1497357081
-
- Optometrist
- Washington Court House, OH
- NPI 1467405100
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1194784611
-
- Optometrist
- Mount Vernon, OH
- NPI 1801181425
-
- Optometrist
- New Lexington, OH
- NPI 1710064894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1134421035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6899 LAKEBROOK BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352724",
"telephone_number": "602-206-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 TUTTLE CROSSING BLVD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430161533",
"telephone_number": "614-760-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "XUAN",
"middle_name": "THANH THI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-27",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.