Active NPI
Loc Pham, O.D.
- Optometrist
- Chandler, AZ
National Provider Identifier
1821086273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-000995
- Practice address
- 1901 W Warner Rd Ste 1
Chandler, AZ 85224-2634 - Phone
- (480) 812-2010
- Fax
- (480) 812-1884
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-000995 | AZ | Primary |
Addresses
Primary practice location
1901 W Warner Rd Ste 1
Chandler, AZ 85224-2634
Mailing address
220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Warner Rd
Chandler, AZ 85224-2634
Phone (480) 812-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Chandler, AZ
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- Phoenix, AZ
- NPI 1073683348
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- Optometrist
- Tempe, AZ
- NPI 1326472945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1821086273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MCKEMY AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262654",
"telephone_number": "480-961-1865",
"fax_number": "480-961-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W WARNER RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242634",
"telephone_number": "480-812-2010",
"fax_number": "480-812-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LOC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-000995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.