Individual
DR. MARIA PHAM
Active
Individual
DR. MARIA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002092
VA
152W00000X
Optometrist
1094OD
WV
152W00000X
Optometrist
OPT.007243
OH
152W00000X
Optometrist
TA2284
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002092
OPTOMETRY
VA
01
—
OPT.007243
OPTOMETRY
OH
01
—
TA2284
OPTOMETRY
MD
Enumeration date
10/28/2011
Last updated
03/04/2026
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