Active NPI
Mailynn H. Pham, O.D.
- Optometrist
- Lafayette, LA
National Provider Identifier
1659686145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1591-624T
- Practice address
- 3505 Ambassador Caffery Pkwy
Lafayette, LA 70503-5130 - Phone
- (337) 984-1488
- Fax
- (337) 981-8240
- NPI assigned
- Aug 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1591-624T | LA | Primary |
Addresses
Primary practice location
3505 Ambassador Caffery Pkwy
Lafayette, LA 70503-5130
Mailing address
101 Settlers Trace Blvd
2221
Lafayette, LA 70508-6052
Phone (714) 890-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1591-624T | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1659686145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SETTLERS TRACE BLVD",
"address_2": "2221",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086052",
"telephone_number": "714-890-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035130",
"telephone_number": "337-984-1488",
"fax_number": "337-981-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MAILYNN",
"middle_name": "H.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1591-624T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.