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

Individual provider Optometrist · NPI 1285712612

Fortsmith Pham, OD is an Optometry in Colleyville, Texas. Qualified in 2002, 24 years ago. Practices with Colleyville Eye Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2006
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

5307 Colleyville Blvd Ste 100
Colleyville, TX 76034-5832
Phone: (817) 485-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6244TG (TX)

Record details

NPI number1285712612
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 17, 2019
Mailing address5307 Colleyville Blvd Ste 100, Colleyville, TX 76034-5832

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Colleyville Eye Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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