DR. ELIZABETH PHAM (OD) – Optometrist, NPI 1255733580

DR. ELIZABETH PHAM (OD) is a healthcare provider. based in Mission, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 8554 (TX). The NPI Number for DR. ELIZABETH PHAM (OD) is 1255733580

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH PHAM (OD)
NPI
1255733580
Phone
(956) 583-0202
Address
1506 E GRIFFIN PKWY
Enumeration Date
18 September 2014
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304526290
Graduation Year
2014 (12 years ago)
PAC ID
4082936711
Group Practice PAC ID
9537457189
Professional Enrollment ID
I20141208000103
Address ID
TX760926478SO1251XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. ELIZABETH PHAM (OD)

  • 1506 E GRIFFIN PKWY

    MISSION, TX 785722425

    Phone: (956) 583-0202

    Fax: (956) 583-0200

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($54).

Total Amount

$54

General + Research + Ownership

Payments

1

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-12-08

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
I20141208000103IOptometryTXTBD

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 78572)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537457189View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YFL
O P T O M E T R YTX
O P T O M E T R YIL
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. ELIZABETH PHAM (OD)?
Save NPI 1255733580 if you need a stable reference for DR. ELIZABETH PHAM (OD).
Is DR. ELIZABETH PHAM (OD)'s NPI currently valid?
The extract we use shows DR. ELIZABETH PHAM (OD) as active.
What field does DR. ELIZABETH PHAM (OD) work in?
You can think of DR. ELIZABETH PHAM (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ELIZABETH PHAM (OD)?
The snapshot lists Mission, Texas for DR. ELIZABETH PHAM (OD); download NPPES for the complete set.
Is DR. ELIZABETH PHAM (OD) a real provider?
This page reflects official NPPES data for NPI 1255733580. Always confirm identity and privileges with the practice and licensing boards.

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