Phuong Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9796TG Issued in TX

Practice address

1971 U.S. 287 Frontage Rd Ste 105, Mansfield, TX 76063
Mansfield, TX 76063-7606

Phone

(817) 453-7591

NPI assigned

Jul 28, 2019

Last updated

Sep 5, 2020By the provider in NPPES

Sex

Female

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 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

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.

• Lily Vision PLLC

  dba Today's Vision Manvel

  • Optometrist
  • Rosharon, TX
  • NPI 1982125316
  Medicare reassignment NPD
• Elysian Eyecare PLLC

  dba Unique Vision

  • Clinic/Center
  • Mansfield, TX
  • NPI 1013502004
  Authorized official Same address or phone

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1932753027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIQUE VISION MANSFIELD",
            "address_2": "1971 US HWY 287 N SUITE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 U.S. 287 FRONTAGE RD STE 105, MANSFIELD, TX 76063",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637606",
            "telephone_number": "817-453-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9796TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Thu Pham, PHARMD
• Huan Pham, DO
• Kathlynn Pham, PHARM.D
• Kim Thi My Pham, O.D.
• Mai Pham, DPM
• Johnny Phan, O.D.
• Linda K Phan, MD
• Phi Thuong Phan, PHARM D
• Uyen Ngoc Bao Phan, PA
• Pharmatise

• Optometrist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.