Active NPI
Jennifer Pham, OD
- Optometrist
- Houston, TX
National Provider Identifier
1841809787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9988T
- Practice address
- 10013 Almeda Genoa Rd Ste G
Houston, TX 77075-2445 - Phone
- (346) 237-3464
- NPI assigned
- Jul 27, 2020
- Last updated
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 9988T | TX | Primary |
Addresses
Primary practice location
10013 Almeda Genoa Rd Ste G
Houston, TX 77075-2445
Mailing address
10013 Almeda Genoa Rd
Houston, TX 77075-2445
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 |
|---|---|---|---|
| 9988T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
10013 Almeda Genoa Rd
Houston, TX 77075
Phone (346) 237-3464
10013 Almeda Genoa Rd
Ste G
Houston, TX 77075
Phone (346) 237-3464
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1841809787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10013 ALMEDA GENOA RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770752445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10013 ALMEDA GENOA RD STE G",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770752445",
"telephone_number": "346-237-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "JENNIFER",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9988T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.