MICHELLE PHAM OD
NPI 1629421995
Optometrist in Coronado, CA

Q: What is Michelle Pham's NPI number?

The NPI number for Michelle Pham is 1629421995. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Michelle 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 Michelle Pham was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 21, 2016PECOS Enrolled

171 C AVE STE B, CORONADO, CA 92118(619) 625-1235(619) 625-1238 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michelle Pham Od NPPES

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

MICHELLE PHAM OD (NPI 1629421995) is an individual optometrist in Coronado, California, licensed in California (33503) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santee.

NPPES Registry Identity

NPI1629421995

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMICHELLE PHAMCredential: OD

Location Address171 C AVE STE BCoronado, CA 92118-1423

Mailing Address171 C Ave Ste BCoronado, CA 92118-1423 · (619) 625-1235

Phone(619) 625-1235

Fax(619) 625-1238

Sole ProprietorNo

Enumeration DateJuly 21, 2016

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1629421995 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 CA · 33503✔ Licensed in AZ · 2146

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.

171 C AVE STE B, Coronado, CA 92118

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Secondary Practice Location 1

Location 19349 Mission Gorge RdSantee, CA 92071-3886 · Phone (619) 448-2020 · Fax (619) 448-2022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Michelle Pham Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92118 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 Michelle Pham's NPI number?

The NPI number for Michelle Pham is 1629421995. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Michelle Pham located?

Michelle Pham practices at 171 C Ave Ste B, Coronado, CA 92118. The listed phone number is (619) 625-1235.

What is Michelle Pham's specialty?

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

Is Michelle Pham enrolled in Medicare?

Yes. Michelle Pham is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Pham accept?

Health plans from 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 Michelle 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 Michelle Pham was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.