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ANNIE LE PHAM OD
NPI 1417829730
Optometrist in Hurst, TX

Active since September 18, 2025PECOS EnrolledAccepts Medicare Assignment
751 MID CITIES BLVD STE A, HURST, TX 76054(817) 656-2020 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie Le Pham Od NPPES

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

ANNIE LE PHAM OD (NPI 1417829730) is an individual optometrist in Hurst, Texas, licensed in Texas (11525TG) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2025).

NPPES Registry Identity

NPI1417829730
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANNIE LE PHAMCredential: OD
Location Address751 MID CITIES BLVD STE AHurst, TX 76054-2748
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Phone(817) 656-2020
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2025
Enumeration DateSeptember 18, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1417829730 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 · 11525TG
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.
751 MID CITIES BLVD STE A, Hurst, TX 76054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Annie Le Pham Od 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 ID8022506401
PECOS Enrollment IDI20251020000404
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 76054 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 3

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

HUGHES EYE CARE PLLC
Optometrist
751 MID CITIES BLVD STE A
HURST, TX 76054
Tarrant County (817) 656-2020
CAMERON CRAMER
Optometrist
751 MID CITIES BLVD STE A
HURST, TX 76054
Tarrant County (817) 656-2020
DR. BLAKE JAMAR HUGHES O.D.
Optometrist
751 MID CITIES BLVD STE A
HURST, TX 76054
Tarrant County (817) 656-2020

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 Annie Pham's NPI number?

The NPI number for Annie Pham is 1417829730. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Annie Pham located?

Annie Pham practices at 751 Mid Cities Blvd Ste A, Hurst, TX 76054. The listed phone number is (817) 656-2020.

What is Annie Pham's specialty?

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

Is Annie Pham enrolled in Medicare?

Yes. Annie 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 Annie Pham 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 4 other insurers list Annie 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 Annie Pham was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.