Dr Peter T Pham & Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002204 Issued in VA

Legal business name

DR PETER T PHAM & ASSOCIATES

Practice address

8300 Sudley Rd Ste I6
Manassas, VA 20109-3458

Phone

(703) 257-7580

Fax

(703) 257-1455

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Peter PhamNPI 1003155946

Title

Owner

Phone

(850) 384-1554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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

• Peter Tien Dzung Pham, O.D.

  • Optometrist
  • Gainesville, VA
  • NPI 1003155946
  Medicare reassignment NPD Authorized official
• Lisa Huynh, OD

  • Optometrist
  • Manassas, VA
  • NPI 1831811108
  Medicare reassignment NPD
• Allyssa M Nguyen, O.D.

  • Optometrist
  • Front Royal, VA
  • NPI 1942512579
  Medicare reassignment NPD
• Kayla Norton, OD

  • Optometrist
  • Manassas, VA
  • NPI 1730740861
  Medicare reassignment NPD

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1689090771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 SUDLEY RD",
            "address_2": "STE I-6",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093458",
            "telephone_number": "703-257-7580",
            "fax_number": "703-257-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 SUDLEY RD STE I6",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093458",
            "telephone_number": "703-257-7580",
            "fax_number": "703-257-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER T PHAM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-384-1554"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Doyle
• Lori Dodd Doyle, PA-C
• Malcolm T Doyle, MD
• Dr Arun K Gupta PC
• Dr Michael K Wong and Associates
• Dr Victor Coates, P.C.
• Dr. Jay J. Lee & Associates
• Dr. Stephanie M. Lee & Associates
• Dr. Steve Lininger, LLC
• Dr. Steve Lininger, LLC

• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.