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Peter T Pham Od, PLLC

NPI 1457801854ActiveOrganization· Optometrist· Gainesville, VA

Optometrist in Gainesville, Virginia, registered in NPPES in October 2016. The authorized official on file is Peter Pham, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1457801854
StatusActive
Entity typeOrganization
NPI issuedOct 10, 2016
Last updated in NPPESOct 21, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X0618002204VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

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