DR. KEVIN CUONG PHAM (NPI# 1831619998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831619998 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CUONG PHAM |
| Other Name | CUONG HUY PHAM |
| Credential | OD |
| Practice Address |
445 Minnesota St Ste 1500 Saint Paul MN 55101-2269 |
| Mailing Address |
3620 Pierce St S Fargo ND 58104-7563 |
| Practice Telephone | 7735883090 |
| Mailing Telephone | 7017998063 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3514K | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 3514 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1360 University Ave W Ste 106, Saint Paul, MN 551044092 | 7017999063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
| 1619472701 | Kevin Van Pham | Optometrist | 2110 Deerwood Ct, Pearland, TX 77581-2284 | 2018-03-29 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| 1295055747 | Kevin Pham | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-08 |
| 1003900705 | Kevin Thang Pham I | Dentist | 7746 Lorraine Ave Ste 204, Stockton, CA 95210-4234 | 2006-10-03 |
| 1306456702 | Kevin Minh-huy Pham | Dentist | 344 Nw Loop 564 Ste 400, Mineola, TX 75773-1128 | 2020-07-31 |
| 1811524911 | Kevin Minh Pham | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
| 1629531868 | Kevin Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-12 |
| 1770043481 | Kevin Pham | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-20 |
| 1235697699 | Kevin Pham | Behavior Technician | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-03-05 |
| Street Address |
445 MINNESOTA ST STE 1500 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427448612 | Joellen Lange | Counselor | 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | 2015-01-27 |
| 1629682778 | Clearview Wellness Center | Clinic/Center | 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | 2020-09-05 |
| 1013539410 | Aurora Counseling. LLC | Clinic/Center | 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | 2020-05-08 |
| 1174010656 | Ovitsky Vision Care of Minnesota PC | Optometrist | 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | 2018-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| 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 |
|---|---|---|---|---|
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1982247870 | Lauren K Haverly LLC | Optometrist | 272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 | 2019-10-23 |
| 1124506852 | Amanda Mcmullen | Optometrist | 2716 Lincoln Dr, Saint Paul, MN 55113-1333 | 2018-08-03 |
| 1306218995 | Village Eye Care LLC | Optometrist | 1001 Johnson Pkwy Ste B15, Saint Paul, MN 55106-3696 | 2015-10-22 |
| 1326488008 | Matthew K Anderson | Optometrist | 506 7th St W, Saint Paul, MN 55102 | 2013-06-26 |
| 1518232149 | Solomon M Gould | Optometrist | 1995 Burns Ave Ste B, Saint Paul, MN 55119-4906 | 2012-03-15 |
| 1912224767 | The Spectacle Shoppe Inc | Optometrist | 1089 Grand Ave, Saint Paul, MN 55105-3002 | 2010-05-03 |
| 1740515832 | Gaile Kristine Philipp | Optometrist | 3001 White Bear Ave N Ste 1050, Saint Paul, MN 55109-1283 | 2009-10-07 |
| 1982769501 | Calvin Optometry Pllc | Optometrist | 1995 Burns Ave., Suite B, Saint Paul, MN 55119-4906 | 2006-12-26 |
| 1194884635 | Troy E Randgaard | Optometrist | 2034 Ford Pkwy, Saint Paul, MN 55116-1931 | 2006-12-08 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
Please comment or provide details below to improve the information on DR. KEVIN CUONG PHAM.
| 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.