Individual provider Active NPI

William 'Greg' Philpott, OD

  • Optometrist
  • Siloam Springs, AR
National Provider Identifier
1386651545
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2489 Issued in AR
Practice address
960 A S Mount Olive St
Siloam Springs, AR 72761-0188
Phone
(479) 524-5161
Fax
(479) 524-8046
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2489 AR Primary

Addresses

Primary practice location

960 A S Mount Olive St
Siloam Springs, AR 72761-0188

Mailing address

960 A S Mount Olive St
P.O. Box 188
Siloam Springs, AR 72761-0188
Phone (479) 524-5161

Other identifiers 1

IdentifierTypeStateIssuer
138347722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20120522000903 AR Practitioner - Optometry 6406063775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roberts-Philpott Eye Associates, PAGroup PAC ID 3072632595, 3 clinicians

Practice addresses (Care Compare)

1008 1St Ave SE
Gravette, AR 72736-9572
Phone (479) 323-7005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2489ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts-Philpott Eye Associates, PA Optometrist CurrentSince Jan 25, 2012 Accepting new patients

Locations

1008 1st Ave SE
Gravette, AR 72736
Phone (479) 323-7005

960 S Mount Olive St
Ste A
Siloam Springs, AR 72761
Phone (479) 524-5161

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1386651545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 A S MOUNT OLIVE ST",
            "address_2": "P.O. BOX 188",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610188",
            "telephone_number": "479-524-5161",
            "fax_number": "479-524-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 A S MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610188",
            "telephone_number": "479-524-5161",
            "fax_number": "479-524-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "WILLIAM",
        "middle_name": "'GREG'",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138347722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.