Active NPI
Kimberly Pham, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1558298356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4025
- Practice address
- 1689 Nonconnah Blvd Ste 120
Memphis, TN 38132-2111 - Phone
- (901) 523-8990
- NPI assigned
- May 6, 2026
- 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 | 4025 | TN | Primary |
Addresses
Primary practice location
1689 Nonconnah Blvd Ste 120
Memphis, TN 38132-2111
Mailing address
1689 Nonconnah Blvd Ste 120
Memphis, TN 38132-2111
Phone (901) 523-8990
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1558298356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 NONCONNAH BLVD STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322111",
"telephone_number": "901-523-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 NONCONNAH BLVD STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322111",
"telephone_number": "901-523-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "KIMBERLY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.