| Dr Johnny Chieu Tan Pham, OD | |
|
9040 Jackson Ave, Tacoma, WA 98431-6098 | |
| (253) 968-2252 | |
| Not Available |
| Full Name | Dr Johnny Chieu Tan Pham |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 9040 Jackson Ave, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811645294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TPG35396 (California) | Primary |
| Provider Name | Gracelight Community Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740835743 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
| Provider Name | Cha Medical And Surgical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194209254 PECOS PAC ID: 7618216607 Enrollment ID: O20190311000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny Chieu Tan Pham, OD 1300 N Vermont Ave Ste 101, Los Angeles, CA 90027-6098 Ph: (323) 906-6048 | Dr Johnny Chieu Tan Pham, OD 9040 Jackson Ave, Tacoma, WA 98431-6098 Ph: (253) 968-2252 |
Cascade Pacific Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1314 72nd St E, Suite D, Tacoma, WA 98404 Phone: 253-531-5535 | |
Dr. Herbert Alden Blake, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Optometry Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2790 Fax: 253-968-4677 | |
Northwest Vision Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4502 S Steele St Ste 100, Tacoma, WA 98409 Phone: 253-471-7123 Fax: 253-475-1104 | |
Dr. Diana H. P. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4051 Tacoma Mall Blvd, Tacoma, WA 98409 Phone: 253-476-2874 | |
Nathan J Ho, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2913 S 38th St, Ste B3, Tacoma, WA 98409 Phone: 253-473-1050 | |
Dr. James Daniel Kaastrup I, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4502 S Steele St, Suite 200, Tacoma, WA 98409 Phone: 253-471-8369 Fax: 253-475-7767 | |
Sharon L Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Yakima Ave, Ste 100, Tacoma, WA 98405 Phone: 253-502-5965 Fax: 253-593-8410 |