CREST OPTOMETRY, INC
NPI 1366739195
Optometrist in San Jose, CA
About Crest Optometry, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREST OPTOMETRY, INC (NPI 1366739195) is a healthcare organization registered as an optometrist in San Jose, California and active in the NPI registry since June 2011. The organization lists Phuong B Pham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crest Optometry, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Crest Optometry, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Crest Optometry, Inc's NPI number?
The NPI number for Crest Optometry, Inc is 1366739195. It was assigned to this organization in the NPPES registry on June 30, 2011.
Where is Crest Optometry, Inc located?
Crest Optometry, Inc is located at 173 N Morrison Ave Ste. E, San Jose, CA 95126. The listed phone number is (408) 372-7647.
What is Crest Optometry, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Crest Optometry, Inc enrolled in Medicare?
Yes. Crest Optometry, Inc is registered in the Medicare PECOS enrollment system.
When is Crest Optometry, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Crest Optometry, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Crest Optometry, 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Crest Optometry, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Crest Optometry, Inc 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 Crest Optometry, Inc was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Crest Optometry, Inc · NPI 1366739195
Optometrist organization in San Jose, California. Organization record, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1366739195 (Entity type: Organization)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Phuong Pham, PRESIDENT
## Practice location
- **Address:** 173 N MORRISON AVE, STE. E, San Jose, CA 95126-2712
- **Phone:** (408) 372-7647 · **Fax:** (408) 598-3332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366739195) · Data from the CMS NPPES public registry.