Organization Active NPI

Pham Vision, Inc.

Doing business as OptomEyes Vision

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1326217787
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5269TG Issued in TX
Legal business name
PHAM VISION, INC.
Doing business as
OptomEyes Vision
Practice address
16568 Southwest Freeway
Sugar Land, TX 77479
Phone
(281) 240-9545
Fax
(281) 240-1797
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Von T Pham, ODNPI 1992897516
Title
Owner
Phone
(281) 240-9545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5269TG TX Primary

Addresses

Primary practice location

16568 Southwest Freeway
Sugar Land, TX 77479

Mailing address

16568 Southwest Freeway
Sugar Land, TX 77479
Phone (281) 240-9545

Other names 1

  • OptomEyes Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000134 TX Part B Supplier - Clinic/Group Practice 7911061205 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

16568 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 240-9545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1326217787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16568 SOUTHWEST FREEWAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-240-9545",
            "fax_number": "281-240-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16568 SOUTHWEST FREEWAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-240-9545",
            "fax_number": "281-240-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-240-9545",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5269TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptomEyes Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.