DR. JOHNNY CHIEU TAN PHAM OD
NPI 1811645294
Optometrist in Tacoma, WA
About Dr. Johnny Chieu Tan Pham Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHNNY CHIEU TAN PHAM OD (NPI 1811645294) is an individual optometrist in Tacoma, Washington, licensed in California (TPG35396) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Johnny Chieu Tan Pham Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Johnny Chieu Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98373
- Reassigned Medicare billing, Washington enrollment
- 14 clinicians in this Medicare group
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98431
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 Johnny Chieu Pham's NPI number?
The NPI number for Johnny Chieu Pham is 1811645294. It was assigned to this individual provider in the NPPES registry on March 14, 2022.
Where is Johnny Chieu Pham located?
Johnny Chieu Pham practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.
What is Johnny Chieu Pham's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Johnny Chieu Pham enrolled in Medicare?
Yes. Johnny Chieu Pham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Johnny Chieu Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Chieu Pham reassigns Medicare benefits to 3 organizations: Kosnoski Eye Care Inc (Puyallup, WA), Gracelight Community Health (Los Angeles, CA) and Cha Medical And Surgical Group, PC (Los Angeles, CA). Each 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 Johnny Chieu Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Chieu Pham accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Johnny Chieu 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 Johnny Chieu Pham was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Johnny Chieu Tan Pham, OD · NPI 1811645294
Optometrist provider in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since March 14, 2022.
## Identity
- **NPI:** 1811645294 (Entity type: Individual)
- **Enumerated:** March 14, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TPG35396 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9040 JACKSON AVE, Tacoma, WA 98431-6098
- **Phone:** (253) 968-2252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kosnoski Eye Care Inc (NPI 1760757850, Puyallup, WA); Gracelight Community Health (NPI 1801967062, Los Angeles, CA); Cha Medical And Surgical Group, PC (NPI 1194209254, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811645294) · Data from the CMS NPPES public registry.