Individual provider Active NPI

Doan-Anh Thi Pham, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1316087141
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5008T Issued in TX
Practice address
14171 Northwest Fwy
Houston, TX 77040-5013
Phone
(713) 939-8586
Fax
(713) 939-8896
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5008T TX Primary

Addresses

Primary practice location

14171 Northwest Fwy
Houston, TX 77040-5013

Mailing address

14171 Northwest Fwy
Houston, TX 77040-5013
Phone (713) 939-8586

Other names 1

  • Doan-Anh Thi Pham Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080523000168 TX Practitioner - Optometry 9739263567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14171 Northwest Fwy
Houston, TX 77040-5013
Phone (713) 939-8586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5008TXMDMarriage & Family Therapist
5008TTXMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1316087141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405013",
            "telephone_number": "713-939-8586",
            "fax_number": "713-939-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14171 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405013",
            "telephone_number": "713-939-8586",
            "fax_number": "713-939-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DOAN-ANH",
        "middle_name": "THI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5008T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOAN-ANH",
            "last_name": "PHAM",
            "middle_name": "THI",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.