Active NPI
Philip Tawil, O.D.
- Optometrist
- San Francisco, CA
National Provider Identifier
1013298165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11755T
- Practice address
- 2049 Oak St Apt 1
San Francisco, CA 94117-1822 - Phone
- (415) 431-2988
- NPI assigned
- Sep 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11755T | CA | Primary |
Addresses
Primary practice location
2049 Oak St Apt 1
San Francisco, CA 94117-1822
Mailing address
1415 Valencia St
San Francisco, CA 94110-3716
Phone (415) 814-2564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11755T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Northwest P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Portland, OR
- NPI 1104813781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1013298165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 VALENCIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103716",
"telephone_number": "415-814-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 OAK ST APT 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171822",
"telephone_number": "415-431-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWIL",
"first_name": "PHILIP",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-02",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11755T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.