Dr Julie Phan OD Inc
NPI 1013452234 · Optometrist · San Bernardino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Julie Phan OD Inc is a Optometrist organization in San Bernardino, CA (NPI 1013452234).
Provider details
- NPI number
- 1013452234
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Julie Phan, Optometrist(909) 799-3130
- License
- 14612TLG (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-23
- Last updated
- 2016-12-23
Frequently asked questions
- What is Dr Julie Phan OD Inc's NPI number?
- Dr Julie Phan OD Inc's National Provider Identifier (NPI) is 1013452234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Julie Phan OD Inc?
- Dr Julie Phan OD Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr Julie Phan OD Inc located?
- Dr Julie Phan OD Inc's practice location on file with NPPES is 1055 Harriman Pl, San Bernardino, CA 92408-4203.
- What is Dr Julie Phan OD Inc's phone number?
- The practice phone number listed in the NPPES registry for Dr Julie Phan OD Inc is (909) 799-3130.
- Does Dr Julie Phan OD Inc accept Medicare?
- Dr Julie Phan OD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Julie Phan OD Inc?
- The authorized official listed on Dr Julie Phan OD Inc's NPPES record is Julie Phan, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Julie Phan OD Inc's NPI active?
- Yes — Dr Julie Phan OD Inc's NPI (1013452234) is active in the NPPES registry as of the last update on 2016-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.