Vy Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33671 Issued in CA

Practice address

1200 Artesia Blvd
Ste 100
Hermosa Beach, CA 90254-2755

Phone

(310) 372-0070

Fax

(310) 372-0073

NPI assigned

Jun 1, 2017

Last updated

Sep 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vy Pham OD Inc.

  dba Eyes of Hermosa Optometry

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1043986383
  Medicare reassignment NPD Authorized official
• Ecs of Los Angeles I Optometry Corporation

  • Optometrist
  • Trabuco Canyon, CA
  • NPI 1356205652
  Medicare reassignment

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1417485624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30040 AVENIDA CLASSICA",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ARTESIA BLVD",
            "address_2": "STE 100",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542755",
            "telephone_number": "310-372-0070",
            "fax_number": "310-372-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33671TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Marisa Perez
• Perform 2 Win Physiotherapy
• Thomas Pero, M.D.
• Ryan Edward Perry, D.C. CCSP
• Terry Petty, LMFT
• Howard Andrew Pillsbury, LMFT
• Nathalie Pineda
• Morgan Pinedo, APCC
• Michael Pinsky
• Savannah Nicole Pio, RBT

• Optometrist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.