DR RIOLAN MARBUN OD PROFESSIONAL CORPORATION
NPI 1942489547
Optometrist in San Diego, CA
About Dr Riolan Marbun Od Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR RIOLAN MARBUN OD PROFESSIONAL CORPORATION (NPI 1942489547) is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since October 2007. The organization lists Riolan Marbun, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Riolan Marbun Od Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Riolan Marbun Od Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Riolan Marbun Od Professional Corporation's NPI number?
The NPI number for Dr Riolan Marbun Od Professional Corporation is 1942489547. It was assigned to this organization in the NPPES registry on October 31, 2007.
Where is Dr Riolan Marbun Od Professional Corporation located?
Dr Riolan Marbun Od Professional Corporation is located at 1288 Camino Del Rio N, San Diego, CA 92108. The listed phone number is (619) 500-6688.
What is Dr Riolan Marbun Od Professional Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dr Riolan Marbun Od Professional Corporation enrolled in Medicare?
Yes. Dr Riolan Marbun Od Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Riolan Marbun Od Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr Riolan Marbun Od Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dr Riolan Marbun Od Professional Corporation 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 Dr Riolan Marbun Od Professional Corporation 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 Dr Riolan Marbun Od Professional Corporation was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr Riolan Marbun Od Professional Corporation · NPI 1942489547
Optometrist organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 31, 2007.
## Identity
- **NPI:** 1942489547 (Entity type: Organization)
- **Enumerated:** October 31, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Riolan Marbun, PRESIDENT
## Practice location
- **Address:** 1288 CAMINO DEL RIO N, San Diego, CA 92108-1511
- **Phone:** (619) 500-6688 · **Fax:** (619) 500-6689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942489547) · Data from the CMS NPPES public registry.