Richard N.V. Phung, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

9547T Issued in CA

Practice address

9880 Hibert St
Suite E-1
San Diego, CA 92131-1068

Phone

(858) 693-9044

Fax

(858) 693-0704

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1689661571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 HIBERT ST",
            "address_2": "SUITE E-1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311068",
            "telephone_number": "858-693-9044",
            "fax_number": "858-693-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 HIBERT ST",
            "address_2": "SUITE E-1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311068",
            "telephone_number": "858-693-9044",
            "fax_number": "858-693-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "RICHARD",
        "middle_name": "N.V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "9547T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huy Q Phun, MD
• Nancy Phung-Smith, LMFT138181
• Aivi Dolan Phung, PA-C
• Brian Phung
• Karen Huynh Phung
• Trinh Van Anh Phung
• Phuranda Inc. (Savmart Pharmacy)
• Phuranda Inc. (SavMart Pharmacy)
• Physical Therapy - on Demand Inc.
• Physical Therapy Effect PC

• Corneal and Contact Management Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.