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DR. RIOLAN MARBUN O.D.
NPI 1053476788
Optometrist in San Diego, CA

Active since December 22, 2006PECOS Enrolled
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108(619) 500-6688(619) 500-6689 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2022, Dec 1, 2020, Mar 18, 2016 (3 updates tracked since 2016).

About Dr. Riolan Marbun O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RIOLAN MARBUN O.D. (NPI 1053476788) is an individual optometrist in San Diego, California, licensed in California (13678) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053476788
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RIOLAN MARBUNCredential: O.D.
Location Address1288 CAMINO DEL RIO NSan Diego, CA 92108-1511
Mailing AddressPo Box 91519San Diego, CA 92169-3519 · (615) 604-6101
Phone(619) 500-6688
Fax(619) 500-6689
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1053476788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13678
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 13678 (CA)
1288 CAMINO DEL RIO N, San Diego, CA 92108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Riolan Marbun O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Riolan Marbun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Riolan Marbun Od Professional Corporation
Same address
Optometrist
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
NPI 1942489547 (619) 500-6688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON UCLARAY
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0292
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Health Maintenance Organization
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (877) 608-0044
DYNA THOMAS-ALAZIZ
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0292
MORGAN YETTER PHARMD
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0292
BIBIANE DE ROSALES PHARMD
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0025
ALEXANDRA TKATCH
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0292
VALERIE HUEY
Pharmacist
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108
San Diego County (619) 542-0292
DR. GUY MORRIS WHETSTONE IV
Pharmacist
1288 CAMINO DEL RIO N, T-1410
SAN DIEGO, CA 92108
San Diego County (619) 544-2029

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 Riolan Marbun's NPI number?

The NPI number for Riolan Marbun is 1053476788. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Riolan Marbun located?

Riolan Marbun practices at 1288 Camino Del Rio N, San Diego, CA 92108. The listed phone number is (619) 500-6688.

What is Riolan Marbun's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Riolan Marbun enrolled in Medicare?

Yes. Riolan Marbun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Riolan Marbun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riolan Marbun reassigns Medicare benefits to Dr Riolan Marbun Od Professional Corporation (San Diego, CA). The 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 Riolan Marbun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riolan Marbun accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Riolan Marbun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riolan Marbun was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.