Individual provider Active NPI

Phillip R. Wright, OD

  • Optometrist
  • Mooresville, IN
National Provider Identifier
1215074943
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001762A Issued in IN
Practice address
401 S Indiana St
Suite C
Mooresville, IN 46158-2798
Phone
(317) 831-4071
Fax
(317) 831-4489
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001762A IN Primary

Addresses

Primary practice location

401 S Indiana St
Suite C
Mooresville, IN 46158-2798

Mailing address

401 S Indiana St
Suite C
Mooresville, IN 46158-2798
Phone (317) 831-4071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100715000057 IN Practitioner - Optometry 4688706443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Phillip R. and Dawn E. Wright, Optometrists Inc PCGroup PAC ID 1951433036, 2 clinicians

Practice addresses (Care Compare)

401 S Indiana St
Suite C
Mooresville, IN 46158-2799
Phone (317) 831-4071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Phillip R. & Dawn E. Wright, Optometrists Inc PC Optometrist CurrentSince Sep 14, 1977 Accepting new patients

Locations

401 S Indiana St
Ste C
Mooresville, IN 46158
Phone (317) 831-4071

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1215074943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S INDIANA ST",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582798",
            "telephone_number": "317-831-4071",
            "fax_number": "317-831-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S INDIANA ST",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582798",
            "telephone_number": "317-831-4071",
            "fax_number": "317-831-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PHILLIP",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001762A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.