Peter Tien Dzung Pham, O.D.

Optometrist · Gainesville, VA

Individual Active NPI

NPI number 1003155946

Practice location

14044 Promenade Commons St
Gainesville, VA 20155-4072
Phone
(850) 384-1554

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NPI record

NPI
1003155946
Entity type
Individual (Type 1)
Enumeration date
February 13, 2013
Last updated
January 30, 2026
Certified
January 30, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618002204 VA

Mailing address

11024 Oakton View Dr
Oakton, VA 22124-2439
Phone
(850) 384-1554

About Dr. Pham

Peter Tien Dzung Pham, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 14044 Promenade Commons St, Gainesville, VA 20155-4072. The NPI number 1003155946 was assigned on February 13, 2013 and the record was last updated on January 30, 2026.

Dr. Pham lists a license in the registry: #0618002204 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Tien Dzung Pham, O.D.?

The NPI number is 1003155946.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (850) 384-1554.

Where is Dr. Pham located?

14044 Promenade Commons St, Gainesville, VA 20155-4072.

What is the taxonomy code for Dr. Pham?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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