Individual provider Active NPI

Heather Renee Phillips, O.D.

  • Optometrist
  • Aventura, FL
National Provider Identifier
1164448924
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3730 Issued in FL
Practice address
19013 Biscayne Blvd
Aventura, FL 33180-2819
Phone
(305) 935-5250
Fax
(305) 945-3361
NPI assigned
Jul 14, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3730 FL Primary

Addresses

Primary practice location

19013 Biscayne Blvd
Aventura, FL 33180-2819

Mailing address

19013 Biscayne Blvd
Aventura, FL 33180-2819
Phone (305) 935-5250

Other identifiers 2

IdentifierTypeStateIssuer
620841001MedicaidFL
620841000MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address heather.phillipsod.p8@direct.eyefl.nextgenshare.com
Direct Messaging Address heather.phillipsod.p8@direct.eyefl.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040522000002 FL Practitioner - Optometry 4486645959 Reassigns benefits to 2 organizations
Practice locations: Aventura, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Eyecare PAGroup PAC ID 0941536536, 4 clinicians
Eye Physicians of Florida LLPGroup PAC ID 1254414675, 42 clinicians

Practice addresses (Care Compare)

1825 NE 164TH St
Tescher Eye Center
North Miami Beach, FL 33162-4100
Phone (305) 945-7113

19013 Biscayne Blvd
Aventura, FL 33180-2819
Phone (305) 935-5250

2334 NE 53Rd St
Ft Lauderdale, FL 33308-3212
Phone (954) 776-0292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Eyecare, P.a. Optometrist Current Accepting new patients
Rosin Eyecare, P.a. Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Rosin Eyecare, P.a. Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Style Site Opticians Inc Past Accepting new patients

Locations

7187 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 578-9599

1825 NE 164th St
North Miami Beach, FL 33162
Phone (305) 945-7113

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1164448924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19013 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802819",
            "telephone_number": "305-935-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19013 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802819",
            "telephone_number": "305-935-5250",
            "fax_number": "305-945-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620841001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620841000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.phillipsod.p8@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2334 NE 53rd St",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333083212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.phillipsod.p8@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2334 NE 53rd St",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333083212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.