Organization Active NPI

Nghiem Pham OD PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1669795159
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T5152 Issued in TX
Legal business name
NGHIEM PHAM OD PA
Practice address
3221 Fannin St
Houston, TX 77004-2901
Phone
(713) 522-7448
Fax
(713) 522-5286
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Nghiem Nguyen Pham, O.D.
Title
Owner
Phone
(713) 522-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T5152 TX Primary

Addresses

Primary practice location

3221 Fannin St
Houston, TX 77004-2901

Mailing address

3221 Fannin St
Houston, TX 77004-2901
Phone (713) 522-7448

Other identifiers 1

IdentifierTypeStateIssuer
1043227853MedicaidTX

Other names 1

  • MC BEST GLASSES & CONTACT LENSES Other name

National Provider Directory

National Provider Directory

Locations

3221 Fannin St
Houston, TX 77004
Phone (713) 522-0212

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1669795159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042901",
            "telephone_number": "713-522-7448",
            "fax_number": "713-522-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042901",
            "telephone_number": "713-522-7448",
            "fax_number": "713-522-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGHIEM PHAM OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NGHIEM",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-522-7448",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "T5152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043227853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MC BEST GLASSES & CONTACT LENSES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.