Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Julie Phan, OD

Individual provider Optometrist · NPI 1487092813

Dr. Julie Phan, OD is an Optometry in San Bernardino, California. Graduated from Southern California College of Optometry in 2013, 13 years ago. Practices with Dr Julie Phan OD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2013
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1055 Harriman Pl
San Bernardino, CA 92408-4203
Phone: (626) 382-9096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14612 (CA)

Record details

NPI number1487092813
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 7, 2013
Last updated in NPPESFebruary 28, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Dr Julie Phan Od Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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