Crest Optometry, Inc
NPI 1366739195ActiveOrganization· Optometrist· San Jose, CA
Optometrist in San Jose, California, registered in NPPES in June 2011. The authorized official on file is Phuong B. Pham, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366739195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2011 |
| Last updated in NPPES | Dec 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 13778 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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