Individual provider Active NPI

Thanh Ha Pham, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1356357206
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3531 Issued in WA
Practice address
2219 S 37TH St
Tacoma, WA 98409-7473
Phone
(252) 671-6012
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3531 WA Primary

Addresses

Primary practice location

2219 S 37TH St
Tacoma, WA 98409-7473

Mailing address

11288 SE 56TH PL
Bellevue, WA 98006-3333
Phone (206) 818-9320

Other practice location 1

1801 10th Ave NW
Issaquah, WA 98027-5384
Phone (425) 369-6726

Other identifiers 1

IdentifierTypeStateIssuer
3531OtherWALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 14, 2020 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3531WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Issaquah Family Eyecare, PC Optometrist Current Accepting new patients

Locations

1801 10th Ave NW
Issaquah, WA 98027
Phone (425) 313-0965

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1356357206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11288 SE 56TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063333",
            "telephone_number": "206-818-9320",
            "fax_number": "253-671-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S 37TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097473",
            "telephone_number": "252-671-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 10th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275384",
            "country_code": "US",
            "telephone_number": "425-369-6726",
            "fax_number": "425-369-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH HA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3531",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.