Individual provider Active NPI

Kim-CHI Pham, O.D.

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1578523601
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001544 Issued in VA
Practice address
1975 Glenn Mitchell Dr 104
Virginia Beach, VA 23456-0167
Phone
(757) 368-3937
Fax
(757) 516-7032
NPI assigned
Mar 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001544 VA Primary
Optometrist 152W00000X OPC3939 FL

Addresses

Primary practice location

1975 Glenn Mitchell Dr 104
Virginia Beach, VA 23456-0167

Mailing address

1975 Glenn Mitchell Dr 104
Virginia Beach, VA 23456-0167
Phone (757) 368-3937

Other identifiers 1

IdentifierTypeStateIssuer
620769300MedicaidFL

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060809000453 VA Practitioner - Optometry 6507869682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N2 Eyes Optometry LLCGroup PAC ID 1951712199, 4 clinicians
Platinum Eye Care LLCGroup PAC ID 2668657396, 3 clinicians

Practice addresses (Care Compare)

11045 Warwick Blvd
Newport News, VA 23601-3226
Phone (757) 596-4018

1975 Glenn Mitchell Dr
Suite 104
Virginia Beach, VA 23456-0167
Phone 75736839371

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3939FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
N2 Eyes Optometry LLC Optometrist CurrentSince Aug 18, 2020 Accepting new patients
Platinum Eye Care LLC Optometrist CurrentSince Nov 1, 2010 Accepting new patients
N2 Eyes Comprehensive Optometry Inc Optometrist PastSince Aug 18, 2020 Accepting new patients

Locations

11045 Warwick Blvd
Newport News, VA 23601
Phone (757) 593-4018

1975 Glenn Mitchell Dr
Ste 104
Virginia Beach, VA 23456
Phone (757) 368-3937

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578523601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-368-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-368-3937",
            "fax_number": "757-516-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KIM-CHI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001544",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620769300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.