Thao-Thanh Pham OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11729T Issued in CA

Legal business name

THAO-THANH PHAM OD INC

Practice address

6160 Arlington Ave Ste C1
Riverside, CA 92504-1943

Phone

(951) 977-8635

Fax

(951) 977-8637

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thao Pham-Diaz, OD

Title

President

Phone

(951) 977-8635

Specialties & licenses 1

Addresses

Other names 1

• Apple of My Eye Optometry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista Fernanda Soto

  • Optometrist
  • Riverside, CA
  • NPI 1679403844
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1326176199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE STE C1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041943",
            "telephone_number": "951-977-8635",
            "fax_number": "951-977-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE STE C1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041943",
            "telephone_number": "951-977-8635",
            "fax_number": "951-977-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO-THANH PHAM OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "PHAM-DIAZ",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-977-8635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11729T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple of My Eye Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Thacker
• Jagruti Ajay Thakkar, DDS
• Angeliki Thanasi
• Olivia Thanawiwat, PHARMD
• Christopher Jayee Thang
• Dan Thap
• Tharon Riverside LLC
• Anna Sylvia Thatje
• Crystal Michelle Thayer, PA-C
• Susan Elizabeth Thayer, SUDCCII 9405

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.