JENNIFER PHAM (NPI# 1437784717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437784717 |
| Entity Type | Individual |
| Full Name | JENNIFER PHAM |
| Credential | OD |
| Practice Address |
8520 N Beach St Fort Worth TX 76244-4918 |
| Mailing Address |
8682 Spring Garden Dr Apt 8202 Fort Worth TX 76244-9370 |
| Practice Telephone | 8175039798 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9902 | TX | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6360 Lake Worth Blvd, Lake Worth, TX 761353604 | 8172387171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809787 | Jennifer Pham | Optometrist | 10013 Almeda Genoa Rd Ste G, Houston, TX 77075-2445 | 2020-07-27 |
| 1326412537 | Jennifer Pham | Specialist/Technologist | 8381 Conner Cir, Westminster, CA 92683-3318 | 2015-11-25 |
| 1801193982 | Jennifer Pham | Dentist | 42550 Stires Dr, Chantilly, VA 20152-6655 | 2011-02-25 |
| 1023142007 | Jennifer Phi Anh Pham | Dentist | 6369 Westheimer Rd, Houston, TX 77057-5103 | 2007-03-14 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1871110205 | Jennifer Pham | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-07-01 |
| 1235629932 | Jennifer Pham | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2018-05-17 |
| 1720505498 | Jennifer Pham | Pharmacist | 565 W 235th St, Bronx, NY 10463-1650 | 2017-08-24 |
| 1457880569 | Jennifer Pham | Dentist | 1300 N Ventura Rd Ste 2, Oxnard, CA 93030 | 2017-06-12 |
| 1104369123 | Jennifer Pham | Optometrist | 1899 W March Ln, Stockton, CA 95207-6402 | 2016-11-22 |
| Street Address |
8520 N BEACH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601278 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2006-07-17 |
| 1336749837 | Kevin L Goins | Pharmacy | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2020-10-26 |
| 1790869360 | Wal-mart Stores Texas, LLC | Technician/Technologist | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1275168403 | National Vision Inc | Optometrist | 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 | 2020-03-09 |
| 1659933125 | Robert Xiang Li | Optometrist | 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 | 2019-07-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1053879569 | Daniel Max & Marcandrea LLC | Optometrist | 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 | 2019-03-05 |
| 1083179600 | Joseph Khang Vu | Optometrist | 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 | 2019-02-07 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1932685682 | Jennifer Marie Wiernas | Optometrist | 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 | 2018-07-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on JENNIFER PHAM.
| 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.