# DR. PETER HUY-VIET PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801279898
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 4901004912 | MI | Yes |
| 152W00000X | Optometrist | OPC5132 | FL | — |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 03/14/2019