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TONY NGUYEN PHAM O.D.
NPI 1861948556
Optometrist in Valrico, FL

Active since August 31, 2016PECOS Enrolled
1940 HIGHWAY 60 E, VALRICO, FL 33594(813) 653-2244(813) 653-9200 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tony Nguyen Pham O.d. NPPES

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

TONY NGUYEN PHAM O.D. (NPI 1861948556) is an individual optometrist in Valrico, Florida, licensed in Florida (OPC5249) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861948556
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTONY NGUYEN PHAMCredential: O.D.
Location Address1940 HIGHWAY 60 EValrico, FL 33594-3624
Mailing Address1940 Highway 60 EValrico, FL 33594-3624 · (813) 653-2244 · Fax (813) 653-9200
Phone(813) 653-2244
Fax(813) 653-9200
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2016
✔ NPI 1861948556 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 FL · OPC5249
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.
1940 HIGHWAY 60 E, Valrico, FL 33594
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony Nguyen Pham O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991070377
PECOS Enrollment IDI20171128001042
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.

Medicare Billing Reassignment

Medicare enrollment records show Tony Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Barry Case LLC
34 mi
Optometrist
11212 PARK BLVD
Seminole, FL 33772
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1649640905 (727) 393-1501

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33594 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Tony Pham's NPI number?

The NPI number for Tony Pham is 1861948556. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Tony Pham located?

Tony Pham practices at 1940 Highway 60 E, Valrico, FL 33594. The listed phone number is (813) 653-2244.

What is Tony Pham's specialty?

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

Is Tony Pham enrolled in Medicare?

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

Which organization bills Medicare for Tony Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Pham reassigns Medicare benefits to Dr. Barry Case LLC (Seminole, FL). The 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 Tony Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Pham accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 2 other insurers list Tony 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 Tony Pham was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.