Angie Nguyen Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60671639 Issued in WA

Practice address

2510 N Proctor St
Tacoma, WA 98406-5338

Phone

(253) 525-2020

Fax

(253) 301-1228

NPI assigned

Jul 26, 2016

Last updated

Dec 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael H Chow & Associates PLLC

  dba Lakeland Vision Clinic

  • Optometrist
  • Auburn, WA
  • NPI 1386215440
  NPD
• Proctor Vision Clinic, PLLC

  • Optometrist
  • Tacoma, WA
  • NPI 1306488911
  NPD
• Leslie J. Lung, O.D.

  dba Queen Anne Vision Clinic

  • Optometrist
  • Seattle, WA
  • NPI 1245373828
  NPD (past)
• West Seattle Vision Clinic PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1295190023
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1528511573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22528 100TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313243",
            "telephone_number": "206-267-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "253-525-2020",
            "fax_number": "253-301-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361833",
            "country_code": "US",
            "telephone_number": "206-829-9688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7084 Lakeland Hills Way SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "98092",
            "country_code": "US",
            "telephone_number": "775-772-0857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANGIE",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60671639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Therese Peyton
• Ashly Loraine Pfanenstiel
• Stephanie Pfeiffer, PA-C
• Fred Edward Pfenniger, MD
• Hiroko Pfitzner, DDS
• Annie Pham
• Don Vinh Pham, RN
• Hang Pham, PHARM.D
• Johnny Chieu Tan Pham, OD
• Joseph Pham, MD

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.