Individual provider Active NPI

Michelle Tram Pham, O.D

  • Optometrist
  • Houston, TX
National Provider Identifier
1144574419
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8116 Issued in TX
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

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130517000371 TX Practitioner - Optometry 1759528359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8116TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Eye Doctors PLLC Optometrist CurrentSince Sep 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.