Tony Nguyen Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5249 Issued in FL

Practice address

1940 Highway 60 E
Valrico, FL 33594-3624

Phone

(813) 653-2244

Fax

(813) 653-9200

NPI assigned

Aug 31, 2016

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 FL

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

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Barry Case LLCGroup PAC ID 4789994625, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Dr. Barry Case LLC

  • Optometrist
  • Seminole, FL
  • NPI 1649640905
  Medicare reassignment Care Compare group NPD
• Paul a. Breault OD, PA

  • Optometrist
  • Sarasota, FL
  • NPI 1093016560
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1861948556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943624",
            "telephone_number": "813-653-2244",
            "fax_number": "813-653-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943624",
            "telephone_number": "813-653-2244",
            "fax_number": "813-653-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TONY",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Petro, RN
• Jacob Matthew Petro
• James Michael Petro, O.D.
• Sara Michele Pfeifer
• Kim Oanh Pham, PTA
• Jan Denice Phelps, ARNP
• Cheryl Marie Phillips, APN
• Jessica O'Keefe Pierce, OD
• Play Together Speech Therapy LLC
• Katherine Blaire Pollak Fell, PSY.D

• Optometrist in Valrico, FL
• Providers in Valrico, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.