PETER VAN PHAM OD
NPI 1780093260
Optometrist in Rock Hill, SC

Q: What is Peter Pham's NPI number?

The NPI number for Peter Pham is 1780093260. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Q: What is Peter 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 Peter Pham was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 08, 2014PECOS EnrolledAccepts Medicare Assignment

2301 DAVE LYLE BLVD, SUITE 197, ROCK HILL, SC 29730(803) 329-6464 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Peter Van Pham Od NPPES

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

PETER VAN PHAM OD (NPI 1780093260) is an individual optometrist in Rock Hill, South Carolina, licensed in South Carolina (1856) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780093260

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePETER VAN PHAMCredential: OD

Location Address2301 DAVE LYLE BLVD, SUITE 197Rock Hill, SC 29730-5289

Mailing Address2301 Dave Lyle Blvd, Suite 197Rock Hill, SC 29730-5289 · (803) 329-6464

Phone(803) 329-6464

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 8, 2014

Last NPPES UpdateMay 5, 2015

✔ NPI 1780093260 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 SC · 1856

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.

2301 DAVE LYLE BLVD, Rock Hill, SC 29730

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, 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

Peter Van 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 ID2062633795

PECOS Enrollment IDI20250212003156

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 29730 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 Peter Pham's NPI number?

The NPI number for Peter Pham is 1780093260. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Peter Pham located?

Peter Pham practices at 2301 Dave Lyle Blvd Suite 197, Rock Hill, SC 29730. The listed phone number is (803) 329-6464.

What is Peter Pham's specialty?

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

Is Peter Pham enrolled in Medicare?

Yes. Peter 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 Peter Pham accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Peter 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 Peter Pham was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.