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

Samantha Makpaiboonvatana

Individual provider Optometrist · NPI 1043703564

Samantha Makpaiboonvatana is an Optometry in San Bernardino, California. Graduated from Southern California College of Optometry in 2018, 8 years ago. Practices with Gintien Huang MD Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1909 N Waterman Ave Ste 3
San Bernardino, CA 92404
Phone: (909) 882-8883
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 33980TLG (CA)

Record details

NPI number1043703564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2018
Last updated in NPPESJuly 4, 2021
Certification dateJuly 4, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Gintien Huang Md Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Bernardino