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Kim Pham Co

NPI 1598190381ActiveOrganization· Optometrist· Mansfield, TX

Optometrist in Mansfield, Texas, registered in NPPES in September 2013. The authorized official on file is Kim Pham, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1598190381
StatusActive
Entity typeOrganization
NPI issuedSep 11, 2013
Last updated in NPPESFeb 21, 2024
Certified by providerJan 25, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X8070TTX

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 (TX)

Medicare sources and data years

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