DR. TERESA DIEMTU PHAM O.D. - NPI 1376685966 - Optometrist in Woodbridge, VA

Q: What is Teresa Pham's NPI number?

The NPI number for Teresa Pham is 1376685966. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Teresa Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Pham was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Teresa Diemtu Pham O.d. NPPES

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

DR. TERESA DIEMTU PHAM O.D. (NPI 1376685966) is an individual optometrist in Woodbridge, Virginia, licensed in Virginia (0618002984) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brea, and is a graduate of Pacific University - College Of Optometry (2005).

NPPES Registry Identity

NPI1376685966

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. TERESA DIEMTU PHAMCredential: O.D.

Location Address14465 POTOMAC MILLS RDWoodbridge, VA 22192-6807

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780

Phone(703) 494-6184

Fax(703) 499-9744

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2005

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJanuary 19, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2024

✔ NPI 1376685966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in VA · 0618002984✔ Licensed in CA · OPT 12954TPA✔ Licensed in WI · 3640-35✔ Licensed in FL · TPOP23✔ Licensed in NY · 009190

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.

14465 POTOMAC MILLS RD, Woodbridge, VA 22192

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Secondary Practice Location 1

Location 1400 Brea MallBrea, CA 92821-5737 · Phone (714) 529-2203 · Fax (714) 671-1211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter from Superior HealthPlan 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. Teresa Diemtu 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 ID7214249309

PECOS Enrollment IDI20240718003938

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 22192 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 9

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

MYEYEDR OPTOMETRY OF VIRGINIA, PLLC

Optometrist