| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAMELLA PHAM | 1992562433 | 2024-03-11 |
Pamella Pham is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992562433. Registration indicates Pamella Pham is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Pamella Pham OD |
| Practice Office Address | 61 WESTFARMS MALL FARMINGTON, CT US |
| Practice Office Telephone | 8605615687 |
| Mailing Address | 61 WESTFARMS MALL FARMINGTON, CT 060322631 US |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 3.003334
CT |