DONNA PHAM OD
NPI 1992537682
Optometrist in Houston, TX

Active since August 20, 2024PECOS Enrolled
13615 BELLAIRE BLVD, HOUSTON, TX 77083(281) 933-3446(281) 933-6865 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna Pham Od NPPES

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

DONNA PHAM OD (NPI 1992537682) is an individual optometrist in Houston, Texas, licensed in Texas (11171) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992537682
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDONNA PHAMCredential: OD
Location Address13615 BELLAIRE BLVDHouston, TX 77083-1714
Mailing Address13615 Bellaire BlvdHouston, TX 77083-1714
Fax(281) 933-6865
Sole ProprietorNo
Enumeration DateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1992537682 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 TX · 11171
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.
13615 BELLAIRE BLVD, Houston, TX 77083

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)

Donna 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.

Medicare Billing Reassignment

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

Optometrist
13615 BELLAIRE BLVD
Houston, TX 77083
  • Reassigned Medicare billing, Texas enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77083 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
13615 BELLAIRE BLVD
HOUSTON, TX 77083
Optometrist
13615 BELLAIRE BLVD
HOUSTON, TX 77083
Optometrist
13615 BELLAIRE BLVD
HOUSTON, TX 77083
Optometrist
13615 BELLAIRE BLVD
HOUSTON, TX 77083
Optometrist
13615 BELLAIRE BLVD
HOUSTON, TX 77083
Optometrist (Vision Therapy)
13615 BELLAIRE BLVD
HOUSTON, TX 77083

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 Donna Pham's NPI number?

The NPI number for Donna Pham is 1992537682. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Donna Pham located?

Donna Pham practices at 13615 Bellaire Blvd, Houston, TX 77083. The listed phone number is (281) 933-3446.

What is Donna Pham's specialty?

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

Is Donna Pham enrolled in Medicare?

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

Which organization bills Medicare for Donna Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Pham reassigns Medicare benefits to Bruce Wick Od Phd PA (Houston, TX). 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 Donna Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Pham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Donna 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 Donna Pham was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.