Dr. Quang Pham
Optometrist in San Antonio, TX. Individual provider (NPI-1).
NPI number1598890337
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1598890337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Quang Pham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 06290TG | TX | Yes |
Other names
- Quang Pham (Other Name)
Practice location
16019 Nacogdoches Rd Ste 112San Antonio, TX 78247-1128
Phone 210-659-2955 · Fax 210-787-3410
Mailing address
16019 Nacogdoches Rd Ste 112San Antonio, TX 78247-1128
Phone 210-659-2955 · Fax 210-787-3410
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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