Active NPI
Xuan Pham, O.D.
- Optometrist
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1624-657T
- Practice address
- 3900 Airline Dr
Metairie, LA 70001-5704 - Phone
- (504) 831-3662
- Fax
- (504) 831-8272
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 1624-657T | LA | Primary |
| Optometrist | 152W00000X | 7758T | TX |
Addresses
Primary practice location
3900 Airline Dr
Metairie, LA 70001-5704
Mailing address
PO Box 1673
Metairie, LA 70004-1673
Phone (504) 831-3662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- University of Houston - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32 N 2ND St
Greensburg, LA 70441-5218
Phone (225) 222-4102
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624-657T | LA | MD | Optometrist |
| 7758T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Jason Wonch, O.D. and Associates, a.P.C. | Optometrist | Past | Accepting new patients |
Locations
830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313
32 N 2nd St
Greensburg, LA 70441
Phone (225) 222-4102
3201 Wall Blvd
Gretna, LA 70056
Phone (504) 207-4905
716 Village Rd
Kenner, LA 70065
Phone (504) 464-0604
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
10826 Old Mill Rd
Ste 101
Omaha, NE 68154
Organizations & group practices 2
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.
-
dba Visionworks
- Optometrist
- Lake Charles, LA
- NPI 1295769008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1891075628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1673",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700041673",
"telephone_number": "504-831-3662",
"fax_number": "504-831-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015704",
"telephone_number": "504-831-3662",
"fax_number": "504-831-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "XUAN",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1624-657T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7758T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.