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

Dr. Peter Tien Dzung Pham, OD

Individual provider Optometrist · NPI 1003155946

Dr. Peter Tien Dzung Pham, OD is an Optometry in Gainesville, Virginia. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2013
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

14044 Promenade Commons St
Gainesville, VA 20155-4072
Phone: (850) 384-1554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002204 (VA)

Record details

NPI number1003155946
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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