Phong Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8050T Issued in TX

Practice address

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407-8643

Phone

(832) 781-2020

Fax

(832) 403-3151

NPI assigned

Jul 24, 2012

Last updated

Oct 4, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tso Kingwood North Park PA

  • Optometrist
  • Kingwood, TX
  • NPI 1265867931
  Medicare reassignment NPD Authorized official
• Tso Rayford PA

  dba Texas State Optical

  • Optometrist
  • Spring, TX
  • NPI 1760843817
  Medicare reassignment NPD Authorized official
• Tso Richmond Aliana PA

  dba TSO Aliana

  • Optometrist
  • Richmond, TX
  • NPI 1730732728
  Medicare reassignment NPD Authorized official
• Northline Tso PC

  dba Northline Texas State Optical

  • Optometrist
  • Houston, TX
  • NPI 1134198518
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1750636064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 W GRAND PKWY S",
            "address_2": "STE 101",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078643",
            "telephone_number": "832-781-2020",
            "fax_number": "832-403-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PHONG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8050T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh D Pham
• Huong (Mary) Pham, CLC
• Jessica T Pham, DDS
• Kateline Pham, FNP-C
• Kaylie Pham
• Phan Dental Group,PLLC
• Andy Phan
• Hoang M Phan, M.D.
• Kevin Vu Phan, DDS
• Mary Ann Giang Phan

• Optometrist in Richmond, TX
• Providers in Richmond, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.