Individual provider Active NPI

Matthew Pham, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1174052831
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9186 Issued in TX
Practice address
24826 Morton Ranch Rd Ste 300
Katy, TX 77493-8183
Phone
(832) 510-2020
Fax
(346) 686-2020
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9186 TX Primary

Addresses

Primary practice location

24826 Morton Ranch Rd Ste 300
Katy, TX 77493-8183

Mailing address

3172 Stingray Cove Dr
Katy, TX 77493-5360

Other practice location 1

3714 Skyline Dr
Manvel, TX 77578-3243
Phone (281) 816-6842

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
I20210222001308 TX Practitioner - Optometry 5698180883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9186TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Eye Doc PLLC Optometrist CurrentSince Apr 29, 2024 Accepting new patients

Locations

24826 Morton Ranch Rd
Ste 300
Katy, TX 77493
Phone (281) 816-6842

Organizations & group practices 1

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1174052831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 STINGRAY COVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24826 MORTON RANCH RD STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774938183",
            "telephone_number": "832-510-2020",
            "fax_number": "346-686-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3714 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775783243",
            "country_code": "US",
            "telephone_number": "281-816-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.