Active NPI
Vang Thi Pham, OD
- Optometrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6971TG
- Practice address
- 12620 Woodforest Blvd Ste 140
Houston, TX 77015-3561 - Phone
- (281) 540-7040
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 6971TG | TX | |
| Optometrist | 152W00000X | 6971TG | TX | Primary |
Addresses
Primary practice location
12620 Woodforest Blvd Ste 140
Houston, TX 77015-3561
Mailing address
602 Royal Oaks Dr
Friendswood, TX 77546-7006
Phone (832) 814-2344
Other practice location 1
20131 Highway 59 N Ste 1140
Humble, TX 77338-2331
Phone (281) 540-7040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12620 Woodforest Blvd
Suite 140
Houston, TX 77015-3561
Phone (281) 540-7040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6971TG | TX | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
12620 Woodforest Blvd
Ste 140
Houston, TX 77015
Phone (281) 540-7040
Organizations & group practices 2
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.
-
- Optometrist
- Houston, TX
- NPI 1639899792
-
- Optometrist
- Humble, TX
- NPI 1912366717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1639341498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 ROYAL OAKS DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775467006",
"telephone_number": "832-814-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12620 WOODFOREST BLVD STE 140",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770153561",
"telephone_number": "281-540-7040"
}
],
"practiceLocations": [
{
"address_1": "20131 Highway 59 N Ste 1140",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773382331",
"country_code": "US",
"telephone_number": "281-540-7040",
"fax_number": "281-540-7042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "VANG",
"middle_name": "THI",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TX",
"license": "6971TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6971TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.