Organization Active NPI

Tso Richmond Aliana PA

Doing business as TSO Aliana

  • Optometrist
  • Richmond, TX
National Provider Identifier
1730732728
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TSO RICHMOND ALIANA PA
Doing business as
TSO Aliana
Practice address
10117 W. Grand Parkway South
Suite 101
Richmond, TX 77407
Phone
(832) 781-2020
Fax
(832) 403-3151
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Phong Q Pham, ODNPI 1750636064
Title
OD
Phone
(832) 781-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

10117 W. Grand Parkway South
Suite 101
Richmond, TX 77407

Mailing address

10117 W. Grand Parkway South
Suite 101
Richmond, TX 77407
Phone (832) 781-2020

Other names 1

  • TSO Aliana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408001936 TX Part B Supplier - Clinic/Group Practice 8527497825 Receives reassigned benefits from 6 practitioners
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

10117 W Grand Pkwy S
Ste 101
TX 77407

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1730732728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 W. GRAND PARKWAY SOUTH",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-781-2020",
            "fax_number": "832-403-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 W. GRAND PARKWAY SOUTH",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-781-2020",
            "fax_number": "832-403-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSO RICHMOND ALIANA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "832-781-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO Aliana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.