Michael G Pharris Jr., OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

1462 Issued in CO

Practice address

2857 E Fountain Blvd
Colorado Springs, CO 80910-2312

Phone

(719) 329-1221

Fax

(719) 329-1511

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Your Childs Eyes LLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1184821126
  Medicare reassignment NPD
• Hero Vision of Brockton, PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1730368788
  NPD (past) Authorized official
• Michael G Pharris OD PC

  • Optometrist
  • Baltimore, MD
  • NPI 1023462389
  NPD (past) Authorized official
• Your Childs Eyes LLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1659975118
  NPD
• Hero Vision of Denver LLC

  • Optometrist
  • Denver, CO
  • NPI 1962762765
  NPD (past)
• Hero Dental of Santa Fe PC

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1033407846
  NPD (past)
• Hero Vision of DC PLLC

  • Optometrist
  • Washington, DC
  • NPI 1669010989
  NPD (past)
• Hero Vision of Santa Fe LLC

  • Optometrist
  • Santa Fe, NM
  • NPI 1144590258
  NPD (past)
• Ronald B Montano DDS PC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1629251228
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1497828776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 EAST BIJOU",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102312",
            "telephone_number": "719-329-1221",
            "fax_number": "719-329-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARRIS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "1462",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21351821",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08014623",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacies West Inc
• Pharmacist Care LLC
• Pharmacy and Compounding Solutions
• Pharmacy at Matthews-Vu, LLC
• Pharmerica Drug Systems LLC
• Phase Two Counseling Service
• Phase Two Counseling Service
• Phase Two Counseling Service, LLC
• Catherine Ann Pheasant
• Brendan Phelps

• Pediatric Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.