An Pham, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OD60566357 Issued in WA

Practice address

31625 Pacific Hwy S Ste E1
Federal Way, WA 98003-5645

Phone

(253) 946-4387

NPI assigned

Oct 10, 2012

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Duyan Pham Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• An Pham, OD, LLC

  dba WestView Eye Care

  • Corneal and Contact Management Optometrist
  • Federal Way, WA
  • NPI 1033592217
  Medicare reassignment Authorized official
• Dr. Melissa Cho and Associates, LLC

  • Optometrist
  • Federal Way, WA
  • NPI 1588896658
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1477805703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 PACIFIC HWY S STE E1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035645",
            "telephone_number": "503-481-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 PACIFIC HWY S STE E1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035645",
            "telephone_number": "253-946-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "AN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60566357",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD60566357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUYAN",
            "last_name": "PHAM",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd Petrowski
• Hanna Kirsti Petry, CNM
• Pettibon Chiropractic Clinic of Federal Way Inc.
• Sam L Pettibon, D.O.
• Anne M Pettinger, ARNP
• Nhat Pham, MD
• Thanh V Pham, MD
• Minh Quang Phan
• Minh V Phan, D.D.S
• Tuan Phan, PHARMD

• Corneal and Contact Management Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.