DR. PHUONG PHAM O.D.
NPI 1215262498
Optometrist in San Jose, CA
About Dr. Phuong Pham O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHUONG PHAM O.D. (NPI 1215262498) is an individual optometrist in San Jose, California, licensed in California (13778) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of State University Of New York - State College Optometry (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Phuong Pham O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Phuong Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95126
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phuong Pham's NPI number?
The NPI number for Phuong Pham is 1215262498. It was assigned to this individual provider in the NPPES registry on October 6, 2009.
Where is Phuong Pham located?
Phuong Pham practices at 173 N Morrison Ave Ste B, San Jose, CA 95126. The listed phone number is (408) 372-7647.
What is Phuong Pham's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Phuong Pham enrolled in Medicare?
Yes. Phuong Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Phuong Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Pham reassigns Medicare benefits to Crest Optometry, Inc (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phuong Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phuong Pham accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Phuong Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phuong Pham was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Phuong Pham, O.D. · NPI 1215262498
Optometrist provider in San Jose, California. Individual provider, active in the CMS NPPES registry since October 6, 2009.
## Identity
- **NPI:** 1215262498 (Entity type: Individual)
- **Enumerated:** October 6, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 13778 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 173 N MORRISON AVE STE B, San Jose, CA 95126
- **Phone:** (408) 372-7647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Crest Optometry, Inc (NPI 1366739195, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2009
## Record status
- **NPPES last updated:** February 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1215262498) · Data from the CMS NPPES public registry.