KELLY PHAM (NPI# 1497136535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136535 |
| Entity Type | Individual |
| Full Name | KELLY PHAM |
| Practice Address |
10934 Pebble Run Dr Silver Spring MD 20902-3683 |
| Practice Telephone | 5038638838 |
| Mailing Telephone | 5038638838 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | DA2465 | MD | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508300799 | Kelly Kim Dung Pham | Pharmacist | 6620 Summertrail Pl, Highland, CA 92346-6063 | 2016-12-07 |
| 1649730557 | Kelly Pham | Student in an Organized Health Care Education/Training Program | 701 W Pratt St Rm 474, Baltimore, MD 21201-1023 | 2019-03-25 |
| 1932696457 | Kelly Pham | Pharmacist | 3151 University Ave, San Diego, CA 92104-2039 | 2018-04-19 |
| 1841734126 | Kelly Pham | Dental Hygienist | 1211 Meridian Ave, San Jose, CA 95125-5210 | 2016-12-06 |
| 1295010072 | Kelly Pham | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2011-10-12 |
| 1114231669 | Kelly T Pham | Student in an Organized Health Care Education/Training Program | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2010-07-27 |
| 1417274689 | Kelly Loraine Dauer Pham | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Department of Pediatric Rehabilitation Medicine, Seattle, WA 98105-3901 | 2010-04-28 |
| 1588641948 | Kelly H Pham | Radiology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-12-28 |
| Street Address |
10934 PEBBLE RUN DR |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358141 | National Vision Inc | Optometrist | 11281 New Hampshire Ave, Silver Spring, MD 20904-2631 | 2020-05-27 |
| 1720599186 | Bazaar Optical | Optometrist | 12211 Veirs Mill Rd, Silver Spring, MD 20906-4506 | 2017-10-12 |
| 1265961627 | Terry Kim | Optometrist | 14405 Sturtevant Rd, Silver Spring, MD 20905 | 2017-06-08 |
| 1366794638 | Mohindra Ramphal | Optometrist | 12504 Greenhill Dr, Silver Spring, MD 20904-2965 | 2012-10-10 |
| 1235353384 | Luis A. Toledo-espiett | Optometrist | 831 University Blvd E Ste 11, Silver Spring, MD 20903-2921 | 2007-04-12 |
| 1659412377 | Katherine Yueh-mei Ly | Optometrist | 1347 Lamberton Dr, Silver Spring, MD 20902-3415 | 2007-02-08 |
| 1194876037 | Harvey Horwitz | Optometrist | 10885 Lockwood Drive, Silver Spring, MD 20901-4531 | 2007-01-16 |
| 1447312061 | Thomas K. Mcinnes | Optometrist | 13623 A-b Georgia Ave., Unit 18, Silver Spring, MD 20906 | 2006-12-14 |
| 1275602211 | Marc Levy | Optometrist | 1013 Spring St, Silver Spring, MD 20910-4021 | 2006-11-06 |
| 1154408946 | Crystal Unhe Lee | Optometrist | 2273 Bel Pre Rd, Silver Spring, MD 20906-2204 | 2006-11-01 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.