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DR. PHUONG PHAM O.D.
NPI 1215262498
Optometrist in San Jose, CA

Active since October 06, 2009PECOS EnrolledAccepts Medicare Assignment
173 N MORRISON AVE STE B, SAN JOSE, CA 95126(408) 372-7647 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 12, 2019, Feb 28, 2017 (2 updates tracked since 2017).

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

NPI1215262498
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHUONG PHAMCredential: O.D.
Location Address173 N MORRISON AVE STE BSan Jose, CA 95126
Mailing Address173 N Morrison Ave Ste BSan Jose, CA 95126-2712 · (408) 372-7647
Phone(408) 372-7647
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2009
Enumeration DateOctober 6, 2009
Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration
✔ NPI 1215262498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13778
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
173 N MORRISON AVE STE B, San Jose, CA 95126
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Secondary Practice Location 1

Location 12180 Tully RdSan Jose, CA 95122-1345 · Phone (408) 531-1123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7315108651
PECOS Enrollment IDI20120413000485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Phuong Pham accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan 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.