DR. VAN D PHAM (NPI# 1275570913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275570913 |
| Entity Type | Individual |
| Full Name | DR. VAN D PHAM |
| Credential | O.D. |
| Practice Address |
525 Howard St Fl 1 Evanston IL 60202-4005 |
| Practice Telephone | 8478596365 |
| Practice Fax Number | 8478596385 |
| Mailing Telephone | 8478596365 |
| Mailing Fax Number | 8478596385 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008916 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBSIL | 1626166 | 01 |
| IL | 046008916 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467889923 | Van Thi Kim Pham | Nurse Practitioner | 3082 E Bayard Street Ext, Seneca Falls, NY 13148-9701 | 2013-09-30 |
| 1801136171 | Van Hong Pham | Pharmacist | 17142 Brooklyn Ave, Yorba Linda, CA 92886-1717 | 2013-02-25 |
| 1528197142 | Van B Pham | Dentist | 7210 Camino Arroyo, Suite 106, Gilroy, CA 95020-7311 | 2007-03-02 |
| 1265041594 | Van Pham | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2020-07-22 |
| 1255960720 | Van K Pham | Pharmacist | 4700 W Ann Rd, N Las Vegas, NV 89031-3463 | 2020-04-06 |
| 1598322125 | Van Pham | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-05-20 |
| 1700349289 | Van N Pham | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-04-10 |
| 1770085128 | Van Pham | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-03-01 |
| 1831629559 | Van Pham | Pharmacist | 4538 Us Highway 231, Wetumpka, AL 36092-3333 | 2017-06-14 |
| 1720538515 | Van Pham | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2016-10-05 |
| Street Address |
525 HOWARD ST FL 1 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1629508270 | Kevin Michael Pfeiffer | Optometrist | 2914 Central St Fl 1, Evanston, IL 60201-1237 | 2017-06-15 |
| 1164623229 | Paul Robert Barnard | Optometrist | 916 Main St, Evanston, WY 82930-3441 | 2007-05-29 |
| 1518007517 | William F Atkinson | Optometrist | 547 Cheyenne Dr, Evanston, WY 82930-5302 | 2007-02-07 |
| 1336299445 | Industrial Optical Service, Inc. | Optometrist | 522 Dempster St, Evanston, IL 60202-1303 | 2007-01-11 |
| 1083788335 | Frank E Rubin | Optometrist | 1962 Dempster St, Evanston, IL 60202-1016 | 2006-11-20 |
| 1629148804 | Rachana Suresh Patel-garud | Optometrist | 811 Church St, Evanston, IL 60201-3706 | 2006-11-08 |
| 1326153032 | Sanela Puskar | Optometrist | 2000 Central St, Evanston, IL 60201-2218 | 2006-08-20 |
| 1043220783 | Gina Marie Piper | Optometrist | 522 Dempster Ave., Evanston, IL 60202 | 2006-08-08 |
| 1356350540 | Yevgeny Grinman | Optometrist | 1013 Davis St, Evanston, IL 60201-3609 | 2006-08-05 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.