Active NPI
Tawnya Alayna Pham, OD
- Optometrist
- The Woodlands, TX
National Provider Identifier
1487387767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10680
- Practice address
- 9595 Six Pines Dr Ste 1350a
The Woodlands, TX 77380-1531 - Phone
- (281) 298-3755
- NPI assigned
- Jul 5, 2022
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10680 | TX | Primary |
Addresses
Primary practice location
9595 Six Pines Dr Ste 1350a
The Woodlands, TX 77380-1531
Mailing address
1821 W Chateau Ave
Anaheim, CA 92804-4505
Phone (714) 399-6694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10680 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ebf Eye Pro, LLC | Optometrist | Past | Accepting new patients |
| Fadel Eye Pro, Inc. | Optometrist | Past | Accepting new patients |
| FD&I Group, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- The Woodlands, TX
- NPI 1003246885
-
- Optometrist
- Katy, TX
- NPI 1447943261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1487387767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 W CHATEAU AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044505",
"telephone_number": "714-399-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9595 SIX PINES DR STE 1350A",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801531",
"telephone_number": "281-298-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TAWNYA",
"middle_name": "ALAYNA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.