John T. Phifer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1089 Issued in NC

Practice address

510 S Sutherland Ave
Monroe, NC 28112-5061

Phone

(704) 289-6300

Fax

(704) 289-8939

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phifer Eye Associates Optometrists PLLCGroup PAC ID 3577952993, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phifer Eye Associates, Optometrists, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1760053920
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1457339798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281110971",
            "telephone_number": "704-289-6300",
            "fax_number": "704-289-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125061",
            "telephone_number": "704-289-6300",
            "fax_number": "704-289-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "JOHN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909716",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Cory Pettyjohn, MD
• Gautam Mukund Phadke, M.D.
• Pharmacy Acquisition Company LLC
• Phifer Eye Associates, Optometrists, PLLC
• John Braxton Phifer, OD
• Andrew Phillips
• Kelly Jones Phillips, PA
• Travis Thomas Phillips
• Phoenix Therapy Services, PLLC
• Physical Therapy Center,LLC

• Optometrist in Monroe, NC
• Providers in Monroe, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.