Individual provider Active NPI

Maria Pham, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1972889343
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002092 Issued in VA
Practice address
222 McTigue Dr
Toledo, OH 43615-5164
Phone
(419) 442-7702
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2284 MD
Optometrist 152W00000X 0618002092 VA Primary
Optometrist 152W00000X 1094OD WV
Optometrist 152W00000X OPT.007243 OH

Addresses

Primary practice location

222 McTigue Dr
Toledo, OH 43615-5164

Mailing address

9150 Baltimore National Pike Ste 15
Ellicott City, MD 21042-2614
Phone (443) 420-6182

Other practice location 1

9150 Baltimore National Pike Ste 15
Ellicott City, MD 21042-2614
Phone (443) 420-6182

Other identifiers 3

IdentifierTypeStateIssuer
0618002092OtherVAOPTOMETRY
OPT.007243OtherOHOPTOMETRY
TA2284OtherMDOPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140708001180 DC Practitioner - Optometry 2668620535 Reassigns benefits to 1 organization
I20260327001857 OH Practitioner - Optometry 2668620535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1213 Liberty Rd
J238
Eldersburg, MD 21784-7932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007243OHMDOptometrist
1094ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Center Inc Optometrist CurrentSince Aug 4, 2012 Accepting new patients
Visionworks, Inc CurrentSince Dec 21, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 21, 2025 Accepting new patients
Vision to Learn Optometrist PastSince Mar 5, 2023 Accepting new patients
Vision to Learn Optometrist PastSince Mar 5, 2023 Accepting new patients

Locations

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

9150 Baltimore National Pike
Ste 15
Ellicott City, MD 21042
Phone (410) 465-6166

1211 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 635-3600

96 Patrick Henry Way
Ste 6
Charles Town, WV 25414
Phone (304) 728-4463

800 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 263-6030

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1972889343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 BALTIMORE NATIONAL PIKE STE 15",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422614",
            "telephone_number": "443-420-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MCTIGUE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155164",
            "telephone_number": "419-442-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Baltimore National Pike Ste 15",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422614",
            "country_code": "US",
            "telephone_number": "443-420-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2284",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002092",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1094OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "0618002092",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "OPT.007243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "TA2284",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.