Active NPI
Michael Don Phillips, OD
- Optometrist
- Plano, TX
National Provider Identifier
1144373689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02498T
- Practice address
- 811 N Central Expy
Suite 1005
Plano, TX 75075-8815 - Phone
- (972) 633-5000
- Fax
- (972) 423-0454
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 13, 2009
- 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 | 02498T | TX | Primary |
Addresses
Primary practice location
811 N Central Expy
Suite 1005
Plano, TX 75075-8815
Mailing address
811 N Central Expy
Suite 1005
Plano, TX 75075-8815
Phone (972) 633-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911692 | Other | TX | EYEMED |
| 00Z239 | Other | MEDICARE PTAN GROUP | |
| 8L9534 | Other | TX | MEDICARE PTAN INDIVIDUAL |
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 |
|---|---|---|---|
| 02498T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Eye Care | Optometrist | Past | 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.
-
- Optometrist
- Plano, TX
- NPI 1710144795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1144373689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 N CENTRAL EXPY",
"address_2": "SUITE 1005",
"city": "PLANO",
"state": "TX",
"postal_code": "750758815",
"telephone_number": "972-633-5000",
"fax_number": "972-423-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N CENTRAL EXPY",
"address_2": "SUITE 1005",
"city": "PLANO",
"state": "TX",
"postal_code": "750758815",
"telephone_number": "972-633-5000",
"fax_number": "972-423-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHAEL",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "02498T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "911692",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "00Z239",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL",
"identifier": "8L9534",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.