Active NPI
Michelle Tram Pham, O.D
- Optometrist
- Houston, TX
National Provider Identifier
1144574419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8116
- Practice address
- 6887 Highway 6 N
Houston, TX 77084-2698 - Phone
- (281) 861-8223
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 8116 | TX | Primary |
Addresses
Primary practice location
6887 Highway 6 N
Houston, TX 77084-2698
Mailing address
14415 Hazeldale Dr
Cypress, TX 77429-5577
Phone (405) 664-1658
Other practice location 1
12320 Barker Cypress Rd
Cypress, TX 77429-8325
Phone (281) 373-1020
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8116 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Eye Doctors PLLC | Optometrist | Current | Accepting new patients |
| Total Eye Care, PA | Optometrist | Past | Accepting new patients |
Locations
20750 Kuykendahl Rd
Ste 150B
Spring, TX 77379
Phone (254) 615-1091
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Optometrist
- Spring, TX
- NPI 1891427399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1144574419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14415 HAZELDALE DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295577",
"telephone_number": "405-664-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6887 HIGHWAY 6 N",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770842698",
"telephone_number": "281-861-8223"
}
],
"practiceLocations": [
{
"address_1": "12320 Barker Cypress Rd",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774298325",
"country_code": "US",
"telephone_number": "281-373-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "MICHELLE",
"middle_name": "TRAM",
"name_prefix": "Miss",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.