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

Dr. Phong Michael Pham, OD

Individual provider Optometrist · NPI 1588790828

Dr. Phong Michael Pham, OD is an Optometry in Sanibel, Florida. Graduated from Illinois College of Optometry at Chicago in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Trained at
Illinois College of Optometry at Chicago
Licensed in
FL
In the registry since
2007
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

1571 Periwinkle Way
Sanibel, FL 33957-4513
Phone: (239) 472-4204
Fax: (239) 415-7341
Show map & directions

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

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence OPC3502 (FL)
Optometrist Taxonomy 152W00000X · Licence OPC3502 (FL)

Record details

NPI number1588790828
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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