Thu Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3824 Issued in FL

Practice address

2008 Lake Howell LN
Maitland, FL 32751-5202

Phone

(407) 647-3937

Fax

(321) 356-3423

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Lake Howell Eye Associates, LLC

  • Optometrist
  • Maitland, FL
  • NPI 1700123940
  Medicare reassignment NPD
• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1881650877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 LAKE HOWELL LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515202",
            "telephone_number": "407-647-3937",
            "fax_number": "321-251-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 LAKE HOWELL LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515202",
            "telephone_number": "407-647-3937",
            "fax_number": "321-356-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Peters, M.A
• Germaine Peters, CAA
• Kaile Terin Peters
• Luke Henry Peterson, D.C.
• Quynh Nhu Pham, OD
• Anthony Phan
• Pharmacist Choice Inc.
• Pharmacy Investment Coordinators, Inc
• Lillian Phelps
• Chelsea Lynn Phillips-Payne, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.