Pham Family Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

14484TLG Issued in CA

Legal business name

PHAM FAMILY OPTOMETRY

Practice address

1375 N Davis Rd
Salinas, CA 93907-1991

Phone

(831) 751-9917

Fax

(831) 751-9842

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Mai Lan Pham, O.D.NPI 1770831976

Title

President/Ceo

Phone

(831) 751-9917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mai Lan Pham, O.D.

  • Optometrist
  • Salinas, CA
  • NPI 1770831976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1619318573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N DAVIS RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939071991",
            "telephone_number": "831-751-9917",
            "fax_number": "831-751-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N DAVIS RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939071991",
            "telephone_number": "831-751-9917",
            "fax_number": "831-751-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MAI LAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "831-751-9917",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14484TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Petrovic
• Theresa Jean Pettas, SLP
• Alyssia M Peyton, PT
• Aimee Pezqueda
• Annette Pfister
• Duyen-Anh Pham
• Mai Lan Pham, O.D.
• Maria Pham
• Tan Pham, PHARMD
• Dennis Namphong Phan, MD

• Optometrist in Salinas, CA
• Providers in Salinas, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.