Jennifer Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9902 Issued in TX

Practice address

8520 N Beach St
Fort Worth, TX 76244-4918

Phone

(817) 503-9798

NPI assigned

Mar 7, 2020

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1437784717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8682 SPRING GARDEN DR APT 8202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444918",
            "telephone_number": "817-503-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 Lake Worth Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "TX",
            "postal_code": "761353604",
            "country_code": "US",
            "telephone_number": "817-238-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felisha-Y Pham, PA
• Harry Pham, DO
• Hasan Pham
• Huong Lan Pham, PA-C
• Huong Truong-Hoai Pham, PA-C
• Jonathan Cuong Pham
• Khoa N Pham, MD
• Linda Hoang Pham, D.C.
• Linda Ngoc Pham, PMHNP-BC
• Peter Minh Pham, DO

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.