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FORTSMITH PHAM O.D.
NPI 1285712612
Optometrist in Colleyville, TX

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
5307 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034(817) 485-3300 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fortsmith Pham O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORTSMITH PHAM O.D. (NPI 1285712612) is an individual optometrist in Colleyville, Texas, licensed in Texas (6244TG) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285712612
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameFORTSMITH PHAMCredential: O.D.
Location Address5307 COLLEYVILLE BLVD STE 100Colleyville, TX 76034-5832
Mailing Address5307 Colleyville Blvd Ste 100Colleyville, TX 76034-5832
Phone(817) 485-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 17, 2019
✔ NPI 1285712612 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 TX · 6244TG
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.
5307 COLLEYVILLE BLVD STE 100, Colleyville, TX 76034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Fortsmith 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 ID6305848045
PECOS Enrollment IDI20070208000252
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
85 services80 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76034 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEYVILLE EYE CORPORATION
Optometrist
5307 COLLEYVILLE BLVD STE 100
COLLEYVILLE, TX 76034
Tarrant County (817) 485-3300
CUC BUI O.D.
Optometrist
5307 COLLEYVILLE BLVD STE 100
COLLEYVILLE, TX 76034
Tarrant County (817) 485-3300

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 Fortsmith Pham's NPI number?

The NPI number for Fortsmith Pham is 1285712612. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Fortsmith Pham located?

Fortsmith Pham practices at 5307 Colleyville Blvd Ste 100, Colleyville, TX 76034. The listed phone number is (817) 485-3300.

What is Fortsmith Pham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Fortsmith Pham enrolled in Medicare?

Yes. Fortsmith 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 Fortsmith Pham accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Fortsmith 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 Fortsmith Pham was last updated on July 17, 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.