DR JULIE PHAN OD INC
NPI 1013452234
Optometrist in San Bernardino, CA
About Dr Julie Phan Od Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR JULIE PHAN OD INC (NPI 1013452234) is a healthcare organization registered as an optometrist in San Bernardino, California and active in the NPI registry since December 2016. The organization lists Julie Phan, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Julie Phan Od Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dr Julie Phan Od Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dr Julie Phan Od Inc's NPI number?
The NPI number for Dr Julie Phan Od Inc is 1013452234. It was assigned to this organization in the NPPES registry on December 23, 2016.
Where is Dr Julie Phan Od Inc located?
Dr Julie Phan Od Inc is located at 1055 Harriman Pl, San Bernardino, CA 92408. The listed phone number is (909) 799-3130.
What is Dr Julie Phan Od Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dr Julie Phan Od Inc enrolled in Medicare?
Yes. Dr Julie Phan Od Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Julie Phan Od Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Dr Julie Phan Od Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Julie Phan Od Inc was last updated on December 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr Julie Phan Od Inc · NPI 1013452234
Optometrist organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since December 23, 2016.
## Identity
- **NPI:** 1013452234 (Entity type: Organization)
- **Enumerated:** December 23, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Julie Phan, OPTOMETRIST
## Practice location
- **Address:** 1055 HARRIMAN PL, San Bernardino, CA 92408-4203
- **Phone:** (909) 799-3130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1013452234) · Data from the CMS NPPES public registry.