Active NPI
Phillip Mark Barlow, OD
- Optometrist
- Phoenix, AZ
National Provider Identifier
1174304547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002751
- Practice address
- 2140 E Baseline Rd
Phoenix, AZ 85042-6910 - Phone
- (602) 337-1391
- NPI assigned
- Oct 11, 2023
- 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 | OPT002751 | AZ | Primary |
Addresses
Primary practice location
2140 E Baseline Rd
Phoenix, AZ 85042-6910
Mailing address
2140 E Baseline Rd
Phoenix, AZ 85042-6910
Phone (602) 337-1391
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002751 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
4425 E McKellips Rd
Ste 112
Mesa, AZ 85215
Phone (480) 333-6904
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 and National Provider Directory roles.
-
- Optometrist
- Mesa, AZ
- NPI 1336869619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1174304547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 E BASELINE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426910",
"telephone_number": "602-337-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 E BASELINE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426910",
"telephone_number": "602-337-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "PHILLIP",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-11",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT002751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.