Active NPI
Peter Huy-Viet Pham, O.D.
- Optometrist
- Miami, FL
National Provider Identifier
1801279898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004912
- Practice address
- 3144 N Miami Ave
Miami, FL 33127-3718 - Phone
- (305) 537-5731
- NPI assigned
- Jul 8, 2015
- Last updated
- Mar 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5132 | FL | |
| Optometrist | 152W00000X | 4901004912 | MI | Primary |
Addresses
Primary practice location
3144 N Miami Ave
Miami, FL 33127-3718
Mailing address
1508 Bay Rd Apt 647
Miami Beach, FL 33139-3238
Other practice location 1
1519 Alton Rd
Miami Beach, FL 33139
Phone (305) 531-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5132 | FL | MD | Optometrist |
| 4901004912 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Beach Eye Care | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Locations
1519 Alton Rd
Miami Beach, FL 33139
Phone (305) 531-1444
Organizations & group practices 3
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.
-
- Optometrist
- Miami Beach, FL
- NPI 1225848591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1801279898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 BAY RD APT 647",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 N MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331273718",
"telephone_number": "305-537-5731"
}
],
"practiceLocations": [
{
"address_1": "1519 Alton Rd",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "33139",
"country_code": "US",
"telephone_number": "305-531-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "PETER",
"middle_name": "HUY-VIET",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5132",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.