IndividualActive
Annie Pham, OD
NPI 1417829730 · Optometrist · Hurst, TX
Provider details
- NPI number
- 1417829730
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 11525TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
751 Mid Cities Blvd Ste a
Hurst, TX 76054-2748
Phone: (817) 656-2020
Approximate (ZIP-level) locationGet directions
Mailing address
8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.