IndividualActive
Kim Pham, O.D.
NPI 1124375548 · Optometrist · Mansfield, TX
Provider details
- NPI number
- 1124375548
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 8070 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1740 Highway 157 N
Mansfield, TX 76063-3921
Phone: (817) 793-2959
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2271
Mansfield, TX 76063-0047
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2024-02-21
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.