Vivian Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35731 Issued in CA

Practice address

109 California Ave Ste D101A
Palo Alto, CA 94306-1926

Phone

(650) 322-6656

NPI assigned

Jun 4, 2024

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

University of California - School of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael D Le Optometric CorporationGroup PAC ID 6103169552, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Michael D Le Optometric Corporation

  • Optometrist
  • Palo Alto, CA
  • NPI 1093272700
  Medicare reassignment Care Compare group NPD
• Palo Alto Vision Optometry Inc

  • Optometrist
  • Palo Alto, CA
  • NPI 1902227549
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1225879265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA AVE STE D101A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA AVE STE D101A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061926",
            "telephone_number": "650-322-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Miranda Ave Uppr Ca94304",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041290",
            "country_code": "US",
            "telephone_number": "650-493-5000 x62020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VIVIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Si Pham, M.D.
• Stephanie Thuy Trinh Pham, PA-C
• Thien Pham, PHARM.D.
• Trung Hoang Minh Pham, MD
• Vinh Hong Pham
• Chau Thanh Phan, PHARMD
• Joann Maithy Vo Phan
• Katherine Phan, LCSW
• Laura Ann Phan, PHARMD
• Vanessa Phan

• Optometrist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.