Phoenix Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5799/T2713 Issued in OH

Legal business name

PHOENIX EYE CARE INC

Practice address

10000 Brookpark Rd
Cleveland, OH 44130-1102

Phone

(216) 741-6786

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ting Li, ODNPI 1346405487

Title

President

Phone

(216) 741-6786

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ting Li, O.D.

  • Optometrist
  • Cleveland, OH
  • NPI 1346405487
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1356642623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441301102",
            "telephone_number": "216-741-6786",
            "fax_number": "216-741-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441301102",
            "telephone_number": "216-741-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "TING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-741-6786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5799/T2713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "3137279",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041658",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "4281341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1346405487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliette Philpot
• Jessica Ruth Philpott, M.D.
• Dwight Phinizee II, C.D.C.A. 167635
• Ashley Marie Phipps, DO, MPH
• Karla Ann Phipps, RNC, MSN, CNP
• Bre'Anna Renee Phoenix
• Lateef Devon Phoenix
• Poukphanh Serena Phounsavath
• PHSB Sober Living
• Hoang Phung

• Optometrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.