Cuong T Pham, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6461T Issued in TX

Practice address

13331 Preston Rd
2228
Dallas, TX 75240-1130

Phone

(469) 374-0782

Fax

(469) 374-0791

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386658433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUNNINGDALE",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815151",
            "telephone_number": "972-989-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 PRESTON RD",
            "address_2": "2228",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401130",
            "telephone_number": "469-374-0782",
            "fax_number": "469-374-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CUONG",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6461T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Pham
• Brian Pham, MD
• Christopher Macasieb Pham
• Clarissa Pham
• Cong Thi Pham, PHARM.D.
• Dang Pham
• David Pham, M.D.
• David Quang-Nam Pham, MD
• Erica Pham
• Ethan Long Pham

• Corneal and Contact Management Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.