Dr Ninh Pham OD and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

6245TG Issued in TX

Legal business name

DR NINH PHAM OD AND ASSOCIATES

Practice address

9025 Spencer Hwy
Dr. Ninh Pham'S Optometry Office
La Porte, TX 77571-3870

Phone

(281) 542-9350

Fax

(281) 542-9355

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ninh Xuan Pham, O.D.NPI 1497799662

Title

Owner

Phone

(281) 542-9350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Ninh Xuan Pham, O.D.

  • Optometrist
  • La Porte, TX
  • NPI 1497799662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1629173000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 FAIRMONT PKWY APT 220",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043063",
            "telephone_number": "281-542-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 SPENCER HWY",
            "address_2": "DR. NINH PHAM'S OPTOMETRY OFFICE",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713870",
            "telephone_number": "281-542-9350",
            "fax_number": "281-542-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NINH PHAM OD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NINH",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-542-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6245TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in La Porte, TX
• Providers in La Porte, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.