| Peter T Pham Od, Pllc | |
|
14044 Promenade Commons Street, Gainesville, VA 20155-4072 | |
| (571) 248-6246 | |
| (571) 248-6248 |
| Full Name | Peter T Pham Od, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14044 Promenade Commons Street, Gainesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457801854 | NPI | - | NPPES |
| 1003155946 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618002204 (Virginia) | Primary |
| Provider Name | Peter T Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003155946 PECOS PAC ID: 5799908018 Enrollment ID: I20140514000300 |
| Provider Name | Lisa Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831811108 PECOS PAC ID: 2769850361 Enrollment ID: I20221201000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter T Pham Od, Pllc 8300 Sudley Rd, Ste I-6, Manassas, VA 20109-3458 Ph: (703) 257-7580 | Peter T Pham Od, Pllc 14044 Promenade Commons Street, Gainesville, VA 20155-4072 Ph: (571) 248-6246 |
Gainesville Optometry, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 7367 Atlas Walk Way, Gainesville, VA 20155 Phone: 703-753-7200 Fax: 703-753-7661 | |
Jing Guo, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7340 Heritage Village Plz, Suite 102, Gainesville, VA 20155 Phone: 571-261-4929 | |
Dr. Ally Stoeger, Optometrist Medicare: Medicare Enrolled Practice Location: 7001 Heritage Village Plz, 110, Gainesville, VA 20155 Phone: 703-999-9279 Fax: 703-890-2937 | |
Dr. Ying-chou Chen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13301 Gateway Center Dr, Gainesville, VA 20155 Phone: 703-754-3179 Fax: 571-261-5017 | |
Dr. Ronald Franklin Luxenburg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7367 Atlas Walk Way, Gainesville, VA 20155 Phone: 703-753-7200 Fax: 703-753-7661 | |
Dr. Tina Ansari, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13934 Estate Manor Dr Unit J, Gainesville, VA 20155 Phone: 703-594-9099 |