TSO KINGWOOD NORTH PARK PA
NPI 1265867931
Optometrist in Kingwood, TX
About Tso Kingwood North Park Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TSO KINGWOOD NORTH PARK PA (NPI 1265867931) is a healthcare organization registered as an optometrist in Kingwood, Texas and active in the NPI registry since September 2013. The organization lists Phong Q. Pham, Owner/od, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tso Kingwood North Park Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Tso Kingwood North Park PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tso Kingwood North Park PA's NPI number?
The NPI number for Tso Kingwood North Park PA is 1265867931. It was assigned to this organization in the NPPES registry on September 12, 2013.
Where is Tso Kingwood North Park PA located?
Tso Kingwood North Park PA is located at 25639 Us Hwy 59 North Suite 109, Kingwood, TX 77339. The listed phone number is (832) 934-1166.
What is Tso Kingwood North Park PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tso Kingwood North Park PA enrolled in Medicare?
Yes. Tso Kingwood North Park PA is registered in the Medicare PECOS enrollment system.
When is Tso Kingwood North Park PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tso Kingwood North Park PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Tso Kingwood North Park PA. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tso Kingwood North Park PA accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Tso Kingwood North Park PA 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 Tso Kingwood North Park PA was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tso Kingwood North Park Pa · NPI 1265867931
Optometrist organization in Kingwood, Texas. Organization record, active in the CMS NPPES registry since September 12, 2013.
## Identity
- **NPI:** 1265867931 (Entity type: Organization)
- **Enumerated:** September 12, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Phong Pham, OWNER/OD
## Practice location
- **Address:** 25639 US HWY 59 NORTH, SUITE 109, Kingwood, TX 77339
- **Phone:** (832) 934-1166 · **Fax:** (832) 934-1161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265867931) · Data from the CMS NPPES public registry.