DR. KATIE P PHAM (OD) – Optometrist, NPI 1063405215

DR. KATIE P PHAM (OD) is a healthcare provider. based in Cypress, Texas. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 5747TG (TX). The NPI Number for DR. KATIE P PHAM (OD) is 1063405215

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATIE P PHAM (OD)
NPI
1063405215
Phone
(281) 373-1020
Address
12320 BARKER CYPRESS RD
Enumeration Date
23 August 2005
Last Update Date
17 June 2008

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2813731020
Graduation Year
1999 (27 years ago)
PAC ID
4486779436
Group Practice PAC ID
4082782214
Professional Enrollment ID
I20100914000563
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KATIE P PHAM (OD)

  • Barker Cypress Road, Cypress, Harris County, Texas, 77429, United States

    SUITE 400

    CYPRESS, TX 774298325

    Phone: (281) 373-1020

    Fax: (281) 373-1695

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100914000563IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77429)

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Reviews

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Frequently asked questions

What number should I use to identify DR. KATIE P PHAM (OD) for billing?
Administrative and clinical systems typically use NPI 1063405215 for DR. KATIE P PHAM (OD).
Quick check: is DR. KATIE P PHAM (OD) active?
Public NPPES data shows DR. KATIE P PHAM (OD) with an active NPI status right now.
How should patients interpret DR. KATIE P PHAM (OD)'s specialty?
The extract shows Optometrist for DR. KATIE P PHAM (OD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KATIE P PHAM (OD)?
DR. KATIE P PHAM (OD) is associated with Cypress, Texas in the same public data insurers reference.
Who maintains DR. KATIE P PHAM (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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