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PHUONG NGUYET PHUN
NPI 1205621026
Optometrist in Riverside, CA

Active since April 11, 2025PECOS Enrolled
7379 INDIANA AVE, RIVERSIDE, CA 92504(951) 684-7822(951) 977-8075 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Phuong Nguyet Phun NPPES

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

PHUONG NGUYET PHUN (NPI 1205621026) is an individual optometrist in Riverside, California, licensed in California (36282) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chino, and is a graduate of Southern California College Of Optometry (2026).

NPPES Registry Identity

NPI1205621026
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePHUONG NGUYET PHUN
Location Address7379 INDIANA AVERiverside, CA 92504-4547
Mailing Address7379 Indiana AveRiverside, CA 92504-4547 · (916) 661-9973
Phone(951) 684-7822
Fax(951) 977-8075
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2026
Enumeration DateApril 11, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1205621026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 36282
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.
7379 INDIANA AVE, Riverside, CA 92504
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Secondary Practice Location 1

Location 15385 Walnut AveChino, CA 91710-2605 · Phone (909) 627-8523 · Fax (919) 627-5183

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)

Phuong Nguyet Phun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911471917
PECOS Enrollment IDI20260630004662
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 Phuong Phun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fourth Optometric Care Of California
Same address
Optometrist
7379 INDIANA AVE
Riverside, CA 92504
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1801518790 (951) 684-7822

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 92504 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 7

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

DR. CHERYL MARIE EVERITT O.D.
Optometrist
7379 INDIANA AVE, SUITE 101
RIVERSIDE, CA 92504
Riverside County (951) 684-7822
20/20 VISION ASSOCIATES OPTOMETRY, INC.
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 684-7822
AHMAD WAHEED AHMADZADA OD
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 684-7822
SCOTT NGUYEN OD
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 477-4732
DR. MALLORY ADELE KENNEDY O.D.
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 684-7822
LUBNA OZA
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (512) 529-0863
FOURTH OPTOMETRIC CARE OF CALIFORNIA
Optometrist
7379 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 684-7822

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 Phuong Phun's NPI number?

The NPI number for Phuong Phun is 1205621026. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Phuong Phun located?

Phuong Phun practices at 7379 Indiana Ave, Riverside, CA 92504. The listed phone number is (951) 684-7822.

What is Phuong Phun's specialty?

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

Is Phuong Phun enrolled in Medicare?

Yes. Phuong Phun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phuong Phun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Phun reassigns Medicare benefits to Fourth Optometric Care Of California (Riverside, 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 Phuong Phun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phuong Phun accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Phuong Phun 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 Phuong Phun was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.