Khanh Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9958T Issued in TX

Practice address

26435 Kuykendahl Rd Ste 800
Tomball, TX 77375-1855

Phone

(832) 554-1100

Fax

(832) 639-0015

NPI assigned

Jun 24, 2020

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

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 and National Provider Directory roles.

• Glimpse Eye Care LLC

  • Optometrist
  • Tomball, TX
  • NPI 1922607902
  NPD
• TV Glimpse PA

  • Optometrist
  • The Woodlands, TX
  • NPI 1902612021
  NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1326664475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26435 KUYKENDAHL RD STE 800",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751855",
            "telephone_number": "832-554-1100",
            "fax_number": "832-639-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26435 KUYKENDAHL RD STE 800",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751855",
            "telephone_number": "832-554-1100",
            "fax_number": "832-639-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KHANH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9958T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Irene Peterson, PA
• Mellissa Petit
• Devin Pettiet
• Tara Grace Pfeiffer, SLP-ASSISTANT
• Julianna Baochau Pham, L.AC
• Peter A. Pham, M.D.
• Rido Thi Pham, O.D.
• Thu-Huong Thi Pham, PHARM.D.
• Bounmee Mimi Phanouvong
• Pharmcare USA of Houston LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.