Charles W Phillips, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2745TG Issued in TX

Practice address

4311 W Wadley Ave
Midland, TX 79707-5457

Phone

(432) 689-0323

Fax

(432) 689-2916

NPI assigned

Jul 20, 2006

Last updated

Jul 30, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles W PhillipsGroup PAC ID 7810016805, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Charles W Phillips

  dba Phillips Eye Clinic

  • Optometrist
  • Midland, TX
  • NPI 1417599234
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1093735011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075457",
            "telephone_number": "432-689-0323",
            "fax_number": "432-689-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075457",
            "telephone_number": "432-689-0323",
            "fax_number": "432-689-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2745TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019790701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Philipps, MD
• Laura Philipps, D.M.D.
• Phillips Orthodontics, PLLC (Phillips Orthodontics)
• Amy S Phillips, R.PH.
• Carson Riley Phillips, DDS, MS
• Chris Phillips, PT
• Crystal Michelle Phillips
• Phytex Rehabilitation, LLC (PhyTEx Midland)
• Madyson Paige Piche
• Nancy Piette, LPC

• Corneal and Contact Management Optometrist in Midland, TX
• Providers in Midland, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.