Active NPI
Maria Pham, O.D.
- Optometrist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002092
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618002092 | Other | VA | OPTOMETRY |
| OPT.007243 | Other | OH | OPTOMETRY |
| TA2284 | Other | MD | OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.007243 | OH | MD | Optometrist |
| 1094OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Care Center Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Vision to Learn | Optometrist | Past | Accepting new patients |
| Vision to Learn | Optometrist | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1760952741
-
- Optometrist
- Front Royal, VA
- NPI 1508167750
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Optometrist
- Washington, DC
- NPI 1326316613
-
- Optometrist
- Los Angeles, CA
- NPI 1396142766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.