PETER T PHAM OD, PLLC (NPI# 1457801854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457801854 |
| Entity Type | Organization |
| Organization Name | PETER T PHAM OD, PLLC |
| Other Organization Name | DR. PETER T PHAM & ASSOCIATES |
| Practice Address |
14044 Promenade Commons Street Gainesville VA 20155-4072 |
| Mailing Address |
8300 Sudley Rd Ste I-6 Manassas VA 20109-3458 |
| Practice Telephone | 5712486246 |
| Practice Fax Number | 5712486248 |
| Mailing Telephone | 7032577580 |
| Mailing Fax Number | 7032571455 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | PETER PHAM (OPTOMETRIST) |
| Authorized Official Telephone | 5712486246 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002204 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1003155946 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Peter T Pham & Associates | Doing Business As Name - Organization |
| Street Address |
14044 PROMENADE COMMONS STREET |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1467063057 | West Point Optical Group | Optometrist | 6419 W Newberry Rd Ste B3, Gainesville, FL 32605-6803 | 2020-08-17 |
| 1922622356 | Carl Ritch | Optometrist | 6667 W Newberry Rd, Gainesville, FL 32605-4310 | 2020-06-01 |
| 1821622853 | Catherine Dees | Optometrist | 4950 Nw 44th Ln Apt 105, Gainesville, FL 32606-7609 | 2020-02-28 |
| 1417418815 | National Vision Inc | Optometrist | 3581 Sw Archer Rd Ste 20, Gainesville, FL 32608-2428 | 2019-03-28 |
| 1124519988 | Florida Eye Lab LLC | Optometrist | 3321 Sw Archer Rd, Gainesville, FL 32608-1745 | 2018-05-28 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1376072280 | Candace Brown Suggs | Optometrist | 817 Nw 56th Ter Ste B, Gainesville, FL 32605-6401 | 2017-06-06 |
| 1619324308 | Marc Robinson | Optometrist | 2677 Sw 87th Dr, Gainesville, FL 32608 | 2016-05-23 |
| 1649553009 | Truc Minh Pham | Optometrist | 890 Dawsonville Hwy Ste A, Gainesville, GA 30501-2608 | 2011-09-22 |
| 1942588926 | Michael Blue Herriott | Optometrist | 3324 W University Ave Ste A, Gainesville, FL 32607-2540 | 2011-07-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.