Individual provider Active NPI

Bryan Pham, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1487373320
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10588TG Issued in TX
Practice address
1909 Taylor St Ste B
Houston, TX 77007-3987
Phone
(713) 862-3937
Fax
(713) 862-3938
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10588TG TX Primary

Addresses

Primary practice location

1909 Taylor St Ste B
Houston, TX 77007-3987

Mailing address

5951 South Loop E Unit 29
Houston, TX 77033-1053
Phone (281) 818-9912

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241209002939 TX Practitioner - Optometry 0042746430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Vision, PLLCGroup PAC ID 6901083468, 2 clinicians

Practice addresses (Care Compare)

1909 Taylor St
Suite B
Houston, TX 77007-3987
Phone (713) 862-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10588TXMDAddiction (Substance Use Disorder) Counselor
10588TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Vision, PLLC Optometrist CurrentSince Nov 13, 2024 Accepting new patients
Vision Quest PA Optometrist PastSince Apr 21, 2024 Accepting new patients

Locations

1909 Taylor St
Ste B
Houston, TX 77007
Phone (713) 862-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1487373320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 SOUTH LOOP E UNIT 29",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770331053",
            "telephone_number": "281-818-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 TAYLOR ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073987",
            "telephone_number": "713-862-3937",
            "fax_number": "713-862-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10588TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.