Active NPI
Phillip M Vito, OD
- Optometrist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC 1652
- Practice address
- 608 Holly Springs Rd
Holly Springs, NC 27540-9030 - Phone
- (919) 577-3937
- Fax
- (919) 577-9260
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC 1652 | NC | Primary |
| Optometrist | 152W00000X | 4872 | NJ | |
| Optometrist | 152W00000X | 6828 | PA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 1652 | NC | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1652 | NC | |
| Pediatric Optometrist | 152WP0200X | 1652 | NC | |
| Sports Vision Optometrist | 152WS0006X | 1652 | NC | |
| Occupational Vision Optometrist | 152WX0102X | 1652 | NC |
Addresses
Primary practice location
608 Holly Springs Rd
Holly Springs, NC 27540-9030
Mailing address
608 Holly Springs Rd
Holly Springs, NC 27540-9030
Phone (919) 577-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890905J | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4325 Glenwood Ave
Suite F
Raleigh, NC 27612-4532
Phone (919) 786-0141
608 Holly Springs Rd
Holly Springs, NC 27540-9030
Phone (919) 577-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 7.5 of 100
- Quality
- 15
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC 1652 | NC | MD | Optometrist |
| 4872 | NJ | MD | Optometrist |
| 6828 | PA | MD | Optometrist |
| 1652 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Eye Care Group | Optometrist | Current | Accepting new patients |
| Dr. Phillip M. Vito | Optometrist | Past | Accepting new patients |
Locations
642 Friendly Center Rd
Greensboro, NC 27408
Phone (336) 292-9007
330 Four Seasons Town Ctr
Greensboro, NC 27407
Phone (336) 854-1204
4441 Six Forks Rd
Ste 106
Raleigh, NC 27609
Phone (919) 434-9350
4325 Glenwood Ave
Raleigh, NC 27612
Phone (919) 782-4100
4325 Glenwood Ave
Ste F
Raleigh, NC 27612
Phone (919) 786-0141
Organizations & group practices 2
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.
-
- Optometrist
- Greensboro, NC
- NPI 1215994371
-
- Optometrist
- Holly Springs, NC
- NPI 1225221252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1104826528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 HOLLY SPRINGS RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409030",
"telephone_number": "919-577-3937",
"fax_number": "919-577-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 HOLLY SPRINGS RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409030",
"telephone_number": "919-577-3937",
"fax_number": "919-577-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITO",
"first_name": "PHILLIP",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC 1652",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4872",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "6828",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NC",
"license": "1652",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NC",
"license": "1652",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NC",
"license": "1652",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "NC",
"license": "1652",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NC",
"license": "1652",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890905J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
- Village Family Practice of Holly Springs PLLC
- Vine Counseling & Associates, PLLC
- Vine Counseling & Consulting
- Vital Hub MD PLLC
- Vitalgo Transportation LLC
- Voca Corporation of North Carolina
- Voca Corporation of North Carolina, Inc.
- Voca Corporation of North Carolina, Inc.
- Raymond Voegeli, LCMHC, NCC
- Wake Specialty Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.