Tracy B Phillips, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

799 Issued in MS

Practice address

4803 Poplar Springs Dr Ste a
Meridian, MS 39305-2691

Phone

(601) 693-0176

Fax

(601) 693-0177

NPI assigned

Aug 25, 2008

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillips Eye Care, Inc.

  dba Bright Eyes Family Eye Care

  • Optometrist
  • Meridian, MS
  • NPI 1992025951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1508013293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MACY DR",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 POPLAR SPRINGS DR STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052691",
            "telephone_number": "601-693-0176",
            "fax_number": "601-693-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 E Main St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393502841",
            "country_code": "US",
            "telephone_number": "601-568-2020",
            "fax_number": "601-568-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TRACY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillips Eye Care, Inc. (Bright Eyes Family Eye Care)
• Brenda Lee Phillips, DNP PMHNP-BC, FNP-BC
• Douglas Craig Phillips, M.D.
• Leah Denise Phillips, FNP
• Mark T Phillips, M.D.
• Phoenix Kids Care PLLC
• Physician Group
• Sherry Pickens
• Amy Michelle Pigott, PHARMD
• Whitni Lauren Pinkerton, AGACNP

• Optometrist in Meridian, MS
• Providers in Meridian, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.