DR. JULIE PHAN (NPI# 1487092813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487092813 |
| Entity Type | Individual |
| Full Name | DR. JULIE PHAN |
| Credential | O.D. |
| Practice Address |
1055 Harriman Pl San Bernardino CA 92408-4203 |
| Mailing Address |
13250 Don Julian Rd La Puente CA 91746-2239 |
| Practice Telephone | 6263829096 |
| Mailing Telephone | 6263829096 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14612 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804761 | Julie Phan | Pharmacist | 19744 Cameron Ave, Covina, CA 91724-3933 | 2017-07-21 |
| 1740804004 | Julie Phan | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-06-02 |
| 1972022275 | Julie Phan | Pharmacist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2017-09-18 |
| 1063946531 | Julie Phan | Pharmacist | 4100 Redwood Rd, Oakland, CA 94619-2363 | 2017-04-11 |
| 1467749614 | Julie Ann Phan | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2011-07-07 |
| Street Address |
1055 HARRIMAN PL |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277678 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2006-07-16 |
| 1013452234 | Dr Julie Phan Od Inc | Optometrist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2016-12-23 |
| 1437558400 | Van T Nguyen | Pharmacist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2014-08-15 |
| 1902165798 | Cindy Tampoya Od Inc | Optometrist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2012-05-14 |
| 1912188327 | Firstsight Vision Services, Inc. | Optometrist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2007-11-14 |
| 1477646321 | Sam's Club Optical | Technician/Technologist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1952769416 | Sohil Manhoobi | Optometrist | 330 Inland Shopping Ctr, San Bernardino, CA 92408-1937 | 2016-01-29 |
| 1780087767 | Frank Anthony Rubino Jr. | Optometrist | 407 E. Gilbert St., Suite 10, San Bernardino, CA 92404-5325 | 2014-10-03 |
| 1104139104 | Faith Enfield | Optometrist | 2150 N Waterman Ave Ste 201, San Bernardino, CA 92404-4811 | 2010-07-19 |
| 1437359940 | Glorilyn Tamano Fletcher | Optometrist | 164 W. Hospitality Lane, Ste.7, San Bernardino, CA 92408-3329 | 2007-07-23 |
| 1750586723 | Dr. Satpal Multani, A Professional Corporation | Optometrist | 473 E Carnegie Dr Ste 100, San Bernardino, CA 92408-3567 | 2007-06-19 |
| 1407974058 | Cynthia Corbett | Optometrist | 164 W Hospitality Lane Suite 7, San Bernardino, CA 92408-3329 | 2007-03-26 |
| 1629103833 | Ronald Adolph Kascius | Optometrist | 965 S E St Ste E, San Bernardino, CA 92408-1940 | 2007-02-21 |
| 1275676280 | Jimmy Quoc Vu | Optometrist | 100 Inland Center Drive, San Bernardino, CA 92408 | 2007-02-15 |
| 1699826404 | Louis Stephen Prijatel | Optometrist | 330 Inland Shopping Ctr., San Bernardino, CA 92408-1931 | 2007-01-16 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.