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

Individual provider Optometrist · NPI 1215262498

Dr. Phuong Pham, OD is an Optometry in San Jose, California. Graduated from State University of New York - State College Optometry in 2009, 17 years ago. Practices with Crest Optometry, Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
State University of New York - State College Optometry
Licensed in
CA
In the registry since
2009
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

173 N Morrison Ave Ste B
San Jose, CA 95126
Phone: (408) 372-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2180 Tully Rd, San Jose, CA 95122-1345 — (408) 531-1123

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13778 (CA)

Record details

NPI number1215262498
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 6, 2009
Last updated in NPPESFebruary 12, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Crest Optometry, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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