WILSON PHU OD
NPI 1538796578
Optometrist in San Diego, CA
About Wilson Phu Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSON PHU OD (NPI 1538796578) is an individual optometrist in San Diego, California, licensed in California (34534) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilson Phu Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Wilson Phu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
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 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wilson Phu's NPI number?
The NPI number for Wilson Phu is 1538796578. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Wilson M Phu Od.
Where is Wilson Phu located?
Wilson Phu practices at 3345 Rosecrans St Ste B, San Diego, CA 92110. The listed phone number is (619) 539-7279.
What is Wilson Phu's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wilson Phu enrolled in Medicare?
Yes. Wilson Phu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Wilson Phu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Phu reassigns Medicare benefits to Total Vision PC (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 Wilson Phu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wilson Phu 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 2 other insurers list Wilson Phu 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 Wilson Phu was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wilson Phu, OD · NPI 1538796578
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1538796578 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34534 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3345 ROSECRANS ST STE B, San Diego, CA 92110-4225
- **Phone:** (619) 539-7279
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Total Vision PC (NPI 1356813711, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1538796578) · Data from the CMS NPPES public registry.