NPIMap

Organization Active NPI

Dr. Krystina Pham & Associates

Doing business as Eye Care 4 TX

  • Optometrist
  • Dallas, TX
National Provider Identifier
1437526803
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6326T Issued in TX
Legal business name
DR. KRYSTINA PHAM & ASSOCIATES
Doing business as
Eye Care 4 TX
Practice address
6185 Retail Rd Ste 210
Dallas, TX 75231-7807
Phone
(469) 232-2010
Fax
(469) 232-2010
NPI assigned
Sep 1, 2015
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Krystina PhamNPI 1619984408
Title
Owner, Optometrist
Phone
(214) 552-4833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6326T TX Primary

Addresses

Primary practice location

6185 Retail Rd Ste 210
Dallas, TX 75231-7807

Mailing address

3613 Hutch Dr
Plano, TX 75074-8965
Phone (214) 552-4833

Other practice location 1

18121 Marsh Ln
Dallas, TX 75287-5742
Phone (972) 862-2262

Other identifiers 2

IdentifierTypeStateIssuer
320184001MedicaidTX
320184002MedicaidTX

Other names 1

  • Eye Care 4 TX Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1437526803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 HUTCH DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748965",
            "telephone_number": "214-552-4833",
            "fax_number": "469-232-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 RETAIL RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317807",
            "telephone_number": "469-232-2010",
            "fax_number": "469-232-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18121 Marsh Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752875742",
            "country_code": "US",
            "telephone_number": "972-862-2262",
            "fax_number": "972-862-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KRYSTINA PHAM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KRYSTINA",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "214-552-4833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6326T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320184001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320184002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care 4 TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.