Luke Huy-Viet Pham, RDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D 6055 Issued in CA

Practice address

5305 NE 121St Ave Ste N501
Vancouver, WA 98682-6202

Phone

(360) 314-2826

Fax

(360) 828-7338

NPI assigned

May 15, 2008

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1588831754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 NE 121ST AVE, STE N501",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826202",
            "telephone_number": "360-314-2826",
            "fax_number": "360-828-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 NE 121ST AVE STE N501",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826202",
            "telephone_number": "360-314-2826",
            "fax_number": "360-828-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LUKE",
        "middle_name": "HUY-VIET",
        "name_prefix": "Mr.",
        "credential": "RDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D 6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenden Ty Pham, PHARMD
• Dang Hai Pham, PHARMD
• Hailey Pham
• Khoa Dang Pham
• Kristine H Pham, DMD
• Minh Pham, PHARM D.
• Rosa Pham, DNP
• Tan Ba Pham, DMD
• Tu Pham, MD
• Long G Phan, PHARMACIST

• Optician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.