Organization Active NPI

Victoria Glickman-Pham,O.D.,PLLC

Doing business as InSight Eyecare

  • Optometrist
  • Houston, TX
National Provider Identifier
1558728105
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7522TG Issued in TX
Legal business name
VICTORIA GLICKMAN-PHAM,O.D.,PLLC
Doing business as
InSight Eyecare
Practice address
13147 Northwest Fwy
Suite 100
Houston, TX 77040-6397
Phone
(713) 462-2010
Fax
(713) 460-3898
NPI assigned
Jan 26, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Victoria Glickman-Pham, ODNPI 1437466844
Title
Owner
Phone
(713) 462-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7522TG TX Primary

Addresses

Primary practice location

13147 Northwest Fwy
Suite 100
Houston, TX 77040-6397

Mailing address

13147 Northwest Fwy
Suite 100
Houston, TX 77040-6397
Phone (713) 462-2010

Other names 1

  • InSight Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330001250 TX Part B Supplier - Clinic/Group Practice 9335445642 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13147 Northwest Fwy
Ste 100
Houston, TX 77040
Phone (713) 462-2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1558728105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13147 NORTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406397",
            "telephone_number": "713-462-2010",
            "fax_number": "713-460-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13147 NORTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406397",
            "telephone_number": "713-462-2010",
            "fax_number": "713-460-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA GLICKMAN-PHAM,O.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN-PHAM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-462-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7522TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.