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

Dr. Kim Thi My Pham, OD

Individual provider Optometrist · NPI 1124375548

Dr. Kim Thi My Pham, OD is an Optometry in Mansfield, Texas. Graduated from International American University at Puerto Rico - School of Optometry in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
TX
In the registry since
2012
Specialties on file
2
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

1740 Highway 157 N
Mansfield, TX 76063-3921
Phone: (817) 793-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8070TG (TX)
Optometrist Taxonomy 152W00000X · Licence 8070 (TX)

Record details

NPI number1124375548
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESFebruary 21, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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