| Dr Julie Phan Od Inc | |
|
1055 Harriman Pl, San Bernardino, CA 92408-4203 | |
| (909) 799-3130 | |
| Not Available |
| Full Name | Dr Julie Phan Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1055 Harriman Pl, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013452234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 14612TLG (California) | Primary |
| Provider Name | Julie Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487092813 PECOS PAC ID: 7911140967 Enrollment ID: I20130823000786 |
| Provider Name | Toan Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609122308 PECOS PAC ID: 6901054857 Enrollment ID: I20170206001448 |
| Provider Name | Herrick Duong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255959359 PECOS PAC ID: 9931588084 Enrollment ID: I20220620001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie Phan Od Inc 13250 Don Julian Rd, La Puente, CA 91746-2239 Ph: (626) 382-9096 | Dr Julie Phan Od Inc 1055 Harriman Pl, San Bernardino, CA 92408-4203 Ph: (909) 799-3130 |
Dalwadi Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 330 Inland Ctr, San Bernardino, CA 92408 Phone: 909-884-5255 Fax: 909-884-3015 | |
Dr. Sumin Mark Huang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1909 N Waterman Ave, Suite 3, San Bernardino, CA 92404 Phone: 909-882-8883 Fax: 909-882-8810 | |
Dr. Arthur Friedman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, #201, San Bernardino, CA 92404 Phone: 909-881-2020 | |
Dr. Stephen M Dean, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1099 E Hospitality Ln, San Bernardino, CA 92408 Phone: 909-478-5554 Fax: 909-478-0393 | |
Samantha Makpaiboonvatana, Optometrist Medicare: Medicare Enrolled Practice Location: 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 Phone: 909-882-8883 | |
Naila Sabreena Rana, Optometrist Medicare: Medicare Enrolled Practice Location: 330 Inland Shopping Center, San Bernardino, CA 92408 Phone: 909-381-7661 |