Andrew Long Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11728T Issued in CA

Practice address

208 Great Mall Dr
Milpitas, CA 95035-8040

Phone

(408) 263-3000

Fax

(408) 263-8277

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Insight Optometry, Inc

  • Optometrist
  • Milpitas, CA
  • NPI 1538942602
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649396748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GREAT MALL DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358040",
            "telephone_number": "408-263-3000",
            "fax_number": "408-263-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GREAT MALL DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358040",
            "telephone_number": "408-263-3000",
            "fax_number": "408-263-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11728T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubov Patouga, PA-C
• Esmeralda Perez
• Daniel Perman, DC, DACNB
• Casey Perry
• Amy Doan Pham, D.C
• Chantal T. Pham, MD
• Hop Ngoc Pham, DMD
• John Paul Pham, MD
• Kiana K Pham, PA-C
• Lauren Pham

• Optometrist in Milpitas, CA
• Providers in Milpitas, 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, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.