Elizabeth Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8554 Issued in TX

Practice address

1506 E Griffin Pkwy
Mission, TX 78572-2425

Phone

(956) 583-0202

Fax

(956) 583-0200

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By the provider in NPPES

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 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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2020 Eyedr

  dba Southlake Eyes Now

  • Optometrist
  • Southlake, TX
  • NPI 1942754700
  Medicare reassignment Care Compare group NPD
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Pham Primary Eye Care

  dba Humble Eye Care

  • Optometrist
  • McKinney, TX
  • NPI 1609342690
  NPD Authorized official
• Ana L Salinas

  dba Hammond Vision Center

  • Optometrist
  • McAllen, TX
  • NPI 1568515179
  NPD (past)
• Ioptical, LLC

  • Eyewear Supplier
  • Mission, TX
  • NPI 1831642982
  NPD (past)
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Zanella Optometry, PLLC

  • Optometrist
  • Southlake, TX
  • NPI 1881759785
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1255733580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722425",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722425",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia G Perez, PTA
• Roel Perez, LBSW
• Performance Therapeutics Mission
• Performance Therapeutics Mission PLLC
• Peter L Dy MD PA (Heavenly Childrens Pediatric Clinic)
• Pharmramrx, Inc (Southland Pharmacy)
• Physio Pros Home Health Care PLLC
• Jose C Picazo, DC
• Jonathan Pierre-Louis, P.A.
• Michael Pierre-Louis, P.A.

• Optometrist in Mission, TX
• Providers in Mission, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.