Tuongvi Pham

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002874 Issued in PA

Practice address

2101 Blair Mill Rd
Willow Grove, PA 19090-1751

Phone

(215) 659-2460

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

Yes

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 DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Alexander C Nnabue and Associates PA

  dba Visual Eyes

  • Corneal and Contact Management Optometrist
  • Clinton, MD
  • NPI 1245479336

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1245668540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 N LAWRENCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201431",
            "telephone_number": "267-334-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BLAIR MILL RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901751",
            "telephone_number": "215-659-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TUONGVI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Pelletier
• Phedra Penn, M.D.
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02530)
• Christopher Michael Perry, DPT
• Personal Choice Home Care Services LLC
• Carolyn A Piccone, M.D.
• Pamela Lynn Pietro, PT
• Virginia A Pileggi, M.S.P.T.
• Jennifer M Pinto, PA-C
• Pliner Psychological Associates LLC

• Optometrist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.

Verify at the official NPI Registry.