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

Lisa Pham, OD

Individual provider Optometrist · NPI 1144881491

Lisa Pham, OD is an Optometry in Fort Wayne, Indiana. Graduated from Illinois College of Optometry at Chicago in 2018, 8 years ago. Practices with Frey Vision Group of Indiana Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Trained at
Illinois College of Optometry at Chicago
Licensed in
IN
In the registry since
2019
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

3905 N Anthony Blvd
Fort Wayne, IN 46805-2233
Phone: (260) 432-8409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18004252A (IN)

Record details

NPI number1144881491
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESDecember 30, 2020
Certification dateDecember 23, 2020
Mailing address1530 Spenser Cv, Fort Wayne, IN 46845-2365

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2018 (8 years in practice)
Group practice Frey Vision Group Of Indiana Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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