KIM PHAM (OD) – Optometrist, NPI 1215509658

KIM PHAM (OD) is a healthcare provider. based in Virginia beach, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003045 (VA). The NPI Number for KIM PHAM (OD) is 1215509658

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIM PHAM (OD)
NPI
1215509658
Phone
(832) 863-8720
Address
4505 MAIN ST STE 258
Enumeration Date
14 July 2021
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2813321397
Graduation Year
2021 (5 years ago)
PAC ID
9335545672
Group Practice PAC ID
8224054259
Professional Enrollment ID
I20220928002465
Address ID
TX775984393WE455XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for KIM PHAM (OD)

  • 4505 MAIN ST STE 258

    VIRGINIA BEACH, VA 234623388

    Phone: (832) 863-8720

    Type: Mailing

  • 241 CORPORATE BLVD

    NORFOLK, VA 235024975

    Phone: (757) 622-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,573.

Total Amount is formed as General ($1,573) + Research ($0) + Ownership ($0) = $1,573.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($205).

Total Amount

$1,573

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-09-28

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
I20220928002465IOptometryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system5351$0
92014Established patient complete exam of visual system5353$0
92250Photography of the retina4343$0
92083Exam of visual field with extended testing2424$0
92133Imaging of optic nerve2020$0
View full utilization report →

Insurance plans in this area (ZIP 23462)

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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: 8224054259View full group profile
NameSpecialtyState
O P T O M E T R YTX
-TX
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
O P H T H A L M O L O G YTX
O P T O M E T R YTX
-TX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for KIM PHAM (OD) in U.S. healthcare records?
The official identifier for KIM PHAM (OD) is NPI 1215509658.
Is there an active status for KIM PHAM (OD)?
For scheduling context, KIM PHAM (OD) is shown as active in the registry.
What area of care is associated with KIM PHAM (OD)?
KIM PHAM (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with KIM PHAM (OD)?
Directory geography for KIM PHAM (OD) centers on Virginia Beach, Virginia.
Does KIM PHAM (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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