Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Pham, OD

Individual provider Optometrist · NPI 1821724873

Dr. Jonathan Pham, OD is an Optometry in Livermore, California. Graduated from Southern California College of Optometry in 2021, 5 years ago. Practices with Livermore Optometry Group, a 7-clinician group. Licensed in California.

Years since qualifying
5
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1800 Fourth St
Livermore, CA 94550-4454
Phone: (925) 447-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34882 (CA)

Record details

NPI number1821724873
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 30, 2022
Last updated in NPPESJuly 30, 2022
Certification dateJuly 30, 2022
Mailing address1666 Serpa Dr, Milpitas, CA 95035-4726

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Livermore Optometry Group — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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