Individual provider Active NPI

Thomas Samuel Phillips, O.D.

  • Optometrist
  • Warminster, PA
National Provider Identifier
1053306431
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000901 Issued in PA
Practice address
179 York Rd
Warminster, PA 18974-4514
Phone
(215) 674-2020
Fax
(215) 674-4323
NPI assigned
Sep 13, 2005
Reactivated
Mar 31, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000901 PA Primary

Addresses

Primary practice location

179 York Rd
Warminster, PA 18974-4514

Mailing address

448 Cobblestone Way
Doylestown, PA 18901-5744
Phone (215) 348-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20061005000333 PA Practitioner - Optometry 6002835410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas S Phillips OD PCGroup PAC ID 5294731097, 2 clinicians

Practice addresses (Care Compare)

179 York Rd
Warminster, PA 18974-4581
Phone (215) 674-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Phillips Odpc Optometrist CurrentSince Jul 1, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1053306431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 COBBLESTONE WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015744",
            "telephone_number": "215-348-3288",
            "fax_number": "215-674-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744514",
            "telephone_number": "215-674-2020",
            "fax_number": "215-674-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "THOMAS",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-09-16",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.