MIRA MESA EYECARE
NPI 1760672315
Optometrist in San Diego, CA

Q: What is Tony D Pham Od Inc's NPI number?

The NPI number for Tony D Pham Od Inc is 1760672315. It was assigned to this organization in the NPPES registry on July 30, 2007. The provider is doing business as Mira Mesa Eyecare.

Q: What is Tony D Pham Od Inc's specialty?

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

Active since July 30, 2007

6755 MIRA MESA BLVD., SUITE 141, SAN DIEGO, CA 92121(916) 483-6661(916) 483-6664 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mira Mesa Eyecare NPPES

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

MIRA MESA EYECARE (NPI 1760672315) is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since July 2007. The organization lists Tony Dieu Pham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1760672315

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTONY D PHAM OD INC

Location Address6755 MIRA MESA BLVD., SUITE 141San Diego, CA 92121-4311

Mailing Address6755 Mira Mesa Blvd, Suite 141San Diego, CA 92121-4392 · (858) 535-8282 · Fax (858) 535-0537

Phone(916) 483-6661

Fax(916) 483-6664

Organization SubpartNo

Authorized OfficialTony Dieu PhamPresident/ceo · (858) 535-8282

Enumeration DateJuly 30, 2007

Last NPPES UpdateMay 12, 2009

✔ NPI 1760672315 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 CA · 12348

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.

6755 MIRA MESA BLVD., San Diego, CA 92121

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Other Names 1

Doing Business AsMira Mesa Eyecare

Other Identifiers 2

Medicaid1760672315CA

Medicare PINBQ051ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mira Mesa Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mira Mesa Eyecare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tony Pham, O.D.

Optometry

NPI 1841271434

6755 MIRA MESA BLVD SUITE 141
San Diego, CA 92121

(858) 535-8282

✔ PECOSSame address

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 Tony D Pham Od Inc's NPI number?

The NPI number for Tony D Pham Od Inc is 1760672315. It was assigned to this organization in the NPPES registry on July 30, 2007. The provider is doing business as Mira Mesa Eyecare.

Where is Tony D Pham Od Inc located?

Tony D Pham Od Inc is located at 6755 Mira Mesa Blvd. Suite 141, San Diego, CA 92121. The listed phone number is (916) 483-6661.

What is Tony D Pham Od Inc's specialty?

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

Is Tony D Pham Od Inc enrolled in Medicare?

Yes. Tony D Pham Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tony D Pham Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Tony D Pham Od Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tony D Pham Od Inc was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.