Individual provider Active NPI

Elaine H Pham, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1346312618
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5968TG Issued in TX
Practice address
2677 Wilcrest Dr.
Houston, TX 77042
Phone
(713) 977-1170
Fax
(713) 977-3327
NPI assigned
Nov 14, 2006
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5968TG TX Primary

Addresses

Primary practice location

2677 Wilcrest Dr.
Houston, TX 77042

Mailing address

2470 Gray Falls Dr.
Suite 150
Houston, TX 77077
Phone (281) 556-5353

Other identifiers 3

IdentifierTypeStateIssuer
1849770-01MedicaidTX
1849770-02MedicaidTX
184977003MedicaidTX

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
I20070305000288 TX Practitioner - Optometry 6305948795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

2833 Riley Fuzzel Rd
Suite 300
Spring, TX 77386-4667
Phone (281) 968-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 2, 2024 Accepting new patients
Elite Family Vision PLLC Optometrist CurrentSince Oct 30, 2021 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Eye Experts PLLC Optometrist Past Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Memorial Eye, PA Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

15080 Memorial Dr
Houston, TX 77079
Phone (281) 531-0300

2677 Wilcrest Dr
Houston, TX 77042
Phone (713) 977-1170

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

21195 Kuykendahl Rd
Spring, TX 77379
Phone (281) 370-4444

2833 Riley Fuzzel Rd
Ste 300
Spring, TX 77386
Phone (281) 719-9926

17520 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 566-6730

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1346312618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 GRAY FALLS DR.",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-556-5353",
            "fax_number": "281-556-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 WILCREST DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77042",
            "telephone_number": "713-977-1170",
            "fax_number": "713-977-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ELAINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5968TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849770-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849770-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184977003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.