Gina Nhu Pham

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

V2218 Issued in TX

Practice address

712 N Washington Ave Ste 415
Dallas, TX 75246-1634

Phone

(214) 826-7231

Fax

(214) 826-7984

NPI assigned

Apr 29, 2020

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Baylor College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis Jacob Frazee MD PAGroup PAC ID 6204990005, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpham@northtexaseyecenter.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewis Jacob Frazee MD PA

  dba North Texas Eye Center

  • Ophthalmology Physician
  • Plano, TX
  • NPI 1275606329

  Single Specialty

  Medicare reassignment Care Compare group NPD
• C. Cordell Adams MD PA

  • Medical Specialty Clinic/Center
  • Dallas, TX
  • NPI 1689822744

  Single Specialty

  Medicare reassignment NPD
• West Plano Optical Company

  dba La Lunette

  • Eyewear Supplier
  • Plano, TX
  • NPI 1982857496
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1245851492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461634",
            "telephone_number": "214-826-7231",
            "fax_number": "214-826-7984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "GINA",
        "middle_name": "NHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "V2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dang Pham
• David Pham, M.D.
• David Quang-Nam Pham, MD
• Erica Pham
• Ethan Long Pham
• Henry Long Nguyen Pham, D.D.S.
• Jacqueline Pham
• Jodie Pham
• John Dung Pham, M.D.
• Johnny Pham

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.