Wendy Uyen Pham

Primary specialty

OptometristTaxonomy code 152W00000X

License

34869 Issued in CA

Practice address

1668 E 2ND St Ste B
Beaumont, CA 92223-3168

Phone

(951) 845-4749

NPI assigned

Jul 1, 2021

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

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.

• Focus Vision Clinic Optometry Inc

  dba Focus Vision Clinic Optometry

  • Optometrist
  • Beaumont, CA
  • NPI 1275619116
  Medicare reassignment NPD
• Focus Vision Clinic Optometry Inc

  • Optometrist
  • Beaumont, CA
  • NPI 1710363007
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1245801125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BARTON RD APT 806",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735490",
            "telephone_number": "714-386-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 E 2ND ST STE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233168",
            "telephone_number": "951-845-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "WENDY",
        "middle_name": "UYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Tonatzin Perez-Munoz, PHARMD
• Jennifer Erin Perez, MA
• Laura Eliud Perez, SOLE PROPRIETOR
• Teonna Perez
• Loan Ngoc Pham, PHARM D
• Yolanda Angel Phillips
• Pim Property LLC
• Sarah Lynn Pond, OTR/L
• Jennifer Poole, M.S., LMFT
• Robert J Pope

• Optometrist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.