Huy Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1424 Issued in NE

Practice address

4700 N 27TH St
Walmart Vision Center
Lincoln, NE 68521-1190

Phone

(402) 438-4386

Fax

(402) 438-4393

NPI assigned

Jul 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Pennsylvania College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Superior Eye Care P.C.

  • Optometrist
  • Lincoln, NE
  • NPI 1679012058
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1326454869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 27TH ST",
            "address_2": "WALMART VISION CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211190",
            "telephone_number": "402-438-4386",
            "fax_number": "402-438-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 27TH ST",
            "address_2": "WALMART VISION CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211190",
            "telephone_number": "402-438-4386",
            "fax_number": "402-438-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-04",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "074096",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026652000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh Thy Pham
• Dinh Q Pham
• Dinh Quang Pham
• Dzung Thuy Pham, SOLE CHORE PROVIDER
• Hoang-Oanh Pham
• Huyen Pham
• Kayla Pham
• Kimberly Pham
• Marvin P Pham
• Oanh Huynh Tieu Pham

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.