Ninh Xuan Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6245TG Issued in TX

Practice address

9025 Spencer Hwy
Doctor of Optometry
La Porte, TX 77571-3870

Phone

(281) 542-9350

Fax

(281) 542-9355

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr Ninh Pham OD and Associates

  • Optometrist
  • La Porte, TX
  • NPI 1629173000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1497799662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAJESTIC FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393510",
            "telephone_number": "281-542-9350",
            "fax_number": "281-542-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 SPENCER HWY",
            "address_2": "DOCTOR OF OPTOMETRY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713870",
            "telephone_number": "281-542-9350",
            "fax_number": "281-542-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NINH",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6245TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victor Allen Peres, D.C.
• Liliana Perez, BCBA
• Karen Johnson Perry, COTA
• Pierce Counseling
• Noemy Ponce
• Aubrey Pryor
• James R Puryear, R.PH.
• Rakesh Patel M.D. P. a.

• Optometrist in La Porte, TX
• Providers in La Porte, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.