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

Rebeca Kim Pham, OD

Individual provider Optometrist · NPI 1528806056

Rebeca Kim Pham, OD is an Optometry in Forest Hills, New York. Graduated from University of Houston - College of Optometry in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York and Texas.

Years since qualifying
2
Trained at
University of Houston - College of Optometry
Licensed in
NY, TX
In the registry since
2024
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

11045 Queens Blvd
Forest Hills, NY 11375-5501
Phone: (718) 261-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 011295 (NY)
Optometrist Taxonomy 152W00000X · Licence 11151 (TX)

Record details

NPI number1528806056
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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