Vicky T Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6560T Issued in TX

Practice address

1025 Sawdust Rd
The Woodlands, TX 77380-2151

Phone

(281) 292-9635

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

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 TX

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

Illinois College of Optometry at Chicago, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vicky T. Pham, O.D., P.C.

  dba Kindred Eyecare

  • Optometrist
  • The Woodlands, TX
  • NPI 1003931411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1891945770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802151",
            "telephone_number": "281-292-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802151",
            "telephone_number": "281-292-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VICKY",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6560T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy N Petrocelli
• Haley Pettigrew, MS, LMFT, LCDC
• Kelly Christina Petty, SLP
• Tawnya Alayna Pham, OD
• Tuyet Pham, PHARM. D.
• Phan DMD PLLC (Dentistry & Orthodontics PLLC)
• Jonathan Phan, D.M.D.
• Kendra Sheffield Phelps, M.A., L.P.C.
• Mohna Gail Phenix, PT
• Aaron Philbrick, PA-C

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.