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

Phuong Nguyet Phun

Individual provider Optometrist · NPI 1205621026

Phuong Nguyet Phun is an Optometry in Riverside, California. Graduated from Southern California College of Optometry in 2026. Works from 2 locations. Licensed in California.

Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

7379 Indiana Ave
Riverside, CA 92504-4547
Phone: (951) 684-7822
Fax: (951) 977-8075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5385 Walnut Ave, Chino, CA 91710-2605 — (909) 627-8523

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 36282 (CA)

Record details

NPI number1205621026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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