Sylvia Phung, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34851TLG Issued in CA

Practice address

16803 Valley Blvd Unit a
Fontana, CA 92335-9242

Phone

(909) 349-0299

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103

  CA, Optometrist

  Medicare reassignment NPD
• Third Optometric Care of California

  • Optometrist
  • Rialto, CA
  • NPI 1720752090
  NPD
• Third Optometric Care of California PC

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Vision Express Optometry

  • Optometrist
  • Fontana, CA
  • NPI 1932482551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1194398453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16803 VALLEY BLVD UNIT A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16803 VALLEY BLVD UNIT A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359242",
            "telephone_number": "909-349-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "SYLVIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34851TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Phan
• Yen Phan, D.O.
• Kimya Lashonda Phillips, PTA
• Sherese Phillips, M.D.
• Justin William Philobos
• Thu Cam Phung, PHARM.D
• Pick N Drop Transportation LLC
• Myeisha Shonnee Pickens, LVN
• Vicente Pierantoni, MD
• Alissa Pierce, SLP

• All providers in Fontana, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.