Phillips Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5480T Issued in TX

Legal business name

PHILLIPS VISION LLC

Doing business as

Texarkana Eye Association
The Eye Guys

Practice address

4109 Moores LN
Texarkana, TX 75503-2159

Phone

(903) 329-5051

Fax

(903) 329-5053

NPI assigned

Jun 15, 2007

Last updated

Jan 15, 2026By 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

Shelia K Bailey

Title

Billing/Credentialing Manager

Phone

(903) 329-5051

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Texarkana Eye Association Doing business as
• The Eye Guys Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, OK3 enrollments

Enrollment records 3

Practitioners 5

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.

• Peter G Bako, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1629590450

  OK

  Medicare reassignment Care Compare group NPD
• Priscilla Kier, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1134649015
  Medicare reassignment Care Compare group NPD
• John Eric McCall, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1174699615
  Medicare reassignment Care Compare group NPD
• Jeffrey Scott Phillips, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1134136096
  Medicare reassignment Care Compare group NPD
• Sean M. Summers, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1679702096
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1467657916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032159",
            "telephone_number": "903-329-5051",
            "fax_number": "903-329-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032159",
            "telephone_number": "903-329-5051",
            "fax_number": "903-329-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4504 Texas Blvd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755033027",
            "country_code": "US",
            "telephone_number": "903-792-3705",
            "fax_number": "903-794-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILLIPS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "903-329-5051"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5480T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "98441",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID",
            "identifier": "01915611",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "41046137",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texarkana Eye Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Guys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PG Pharmacy Inc.
• Hong Phuc Pham
• Hung Pham
• Tri Duc Pham, RPH
• Brittany Phelps
• Jeffrey Scott Phillips, OD
• Photon Imaging, PLLC
• Jason T Pickelman, MD
• Ann Pickett, LPC
• Linh Pilkington-Ho

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.