Paul P Pholvichitr, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4859T Issued in TX

Practice address

1509 N Zaragoza Rd
El Paso, TX 79936

Phone

(915) 779-7355

Fax

(915) 778-0520

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Paul P. Pholvichitr, O.D.P.C.

  • Optometrist
  • El Paso, TX
  • NPI 1639351539
  NPD (past) Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1700835782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367906",
            "telephone_number": "915-779-7355",
            "fax_number": "915-778-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-779-7355",
            "fax_number": "915-778-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 N Zaragoza Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79936",
            "country_code": "US",
            "telephone_number": "915-779-7355",
            "fax_number": "915-778-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHOLVICHITR",
        "first_name": "PAUL",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4859T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192676-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip McElvaine MD PA
• Danielle Phillips
• Eric Phillips
• Sabrina Phillips, OT
• Wendy D Phipps, M.D.
• Physical Medicine and Rehabilitation Associates of El Paso, P.a.
• Physical Therapy Solutions PLLC
• Physicians and Allied Health Professionals Group, PA
• Physicians Healthcare Associates
• Physicians Healthcare Associates, P.a.

• Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.