Bichngoc Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1861-795AT Issued in LA

Practice address

550 Connell Park LN
Baton Rouge, LA 70806-6539

Phone

(225) 924-2020

Fax

(225) 924-2809

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By 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 LA

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

University of Houston - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric Thai OD, LLCGroup PAC ID 0749385516, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Eric Thai OD, LLC

  dba Premier EyeCare & Optical

  • Optometrist
  • Baton Rouge, LA
  • NPI 1023152683
  Medicare reassignment Care Compare group
• Williamson Eye Center

  • Ophthalmology Physician
  • Gonzales, LA
  • NPI 1699812909

  Optometrist

  Medicare reassignment NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1134687403
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Saint Francisville, LA
  • NPI 1487495131

  Optometrist

  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1841295813

  Optometrist

  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Zachary, LA
  • NPI 1972509156

  Optometrist

  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1942725304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-924-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BICHNGOC",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1861-795AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korie Paige Peyton, P.L.,CCC-SLP
• Emily Pfantz
• Kyle Patrick Pfefferle
• Janice B Pfister, CRNA
• Ph2014 Hospice LLC
• Cassei Pham
• Diana Mai Pham, MD
• Hang T Pham, PHARM.D
• Hongloan T. Pham, RPH
• Jyoti S Pham, MD

• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.