Charles W Phillips

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHARLES W PHILLIPS

Doing business as

Phillips Eye Clinic

Practice address

4311 W Wadley Ave
Midland, TX 79707-5457

Phone

(432) 689-0323

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles W Phillips, ODNPI 1093735011

Title

Owner

Phone

(432) 689-0323

Specialties & licenses 1

Addresses

Other names 1

• PHILLIPS EYE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles W Phillips, OD

  • Corneal and Contact Management Optometrist
  • Midland, TX
  • NPI 1093735011
  Medicare reassignment Care Compare group Authorized official
• Stephanie Ann Wilson, O.D.

  • Optometrist
  • Midland, TX
  • NPI 1649289489
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1417599234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075457",
            "telephone_number": "432-689-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075457",
            "telephone_number": "432-689-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-689-0323",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIPS EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Chambers
• Kami Briane Chandler
• Rachel Gray Chandler, MD
• Amber Shay Chapman, MA, LPC
• Charles M Younger MD
• Emily Rose Chase, PA-S
• Hillary Chase
• Jacquilin Chavez, LPC
• Kalyssa Michelle Chavez
• Teresa J. Chavez, MS, CCC, SLP

• Optometrist in Midland, TX
• Providers in Midland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.