Avon Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5142 Issued in OH

Legal business name

AVON FAMILY EYECARE, LLC

Practice address

5373 Oberlin Ave
Lorain, OH 44053-3437

Phone

(440) 282-3670

Fax

(866) 423-6354

NPI assigned

May 6, 2007

Organization subpart

No

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

Authorized official

Name

Huan Viet Pham, ODNPI 1306957535

Title

Optometrist

Phone

(440) 282-3670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Huan Viet Pham, O.D.

  • Optometrist
  • Lorain, OH
  • NPI 1306957535

  OH, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1457563892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533437",
            "telephone_number": "440-282-3670",
            "fax_number": "866-423-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533437",
            "telephone_number": "440-282-3670",
            "fax_number": "866-423-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HUAN",
        "authorized_official_middle_name": "VIET",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-282-3670",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lorain, OH
• Providers in Lorain, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.