Victoria V. Glickman-Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7552TG Issued in TX

Practice address

13147 Northwest Fwy Ste 100
Houston, TX 77040-6391

Phone

(713) 462-2010

Fax

(713) 460-3898

NPI assigned

Sep 7, 2010

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

Other identifiers 3

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Victoria Glickman-Pham,O.D.,PLLC

  • Optometrist
  • Houston, TX
  • NPI 1558728105
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1437466844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13147 NORTHWEST FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406391",
            "telephone_number": "713-462-2010",
            "fax_number": "713-460-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13147 NORTHWEST FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406391",
            "telephone_number": "713-462-2010",
            "fax_number": "713-460-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN-PHAM",
        "first_name": "VICTORIA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7552TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290408801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290408802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "7552TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Paul Glezen, M.D.
• Yudier Glezvera
• Aaron Glick, DDS
• Jessica Nu Glick, D.O.
• Lydia Glick
• Oscar Clark Glickman, L.C.S.W.
• Louise A Gliga, M.D.
• Dominique Eugene Glinton
• Kevin E. Glinton, M.D.
• Matthew Tyler Glisch, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.