Individual provider Active NPI

Phillips Kirk Labor, M.D.

  • Ophthalmology Physician
  • Grapevine, TX
National Provider Identifier
1528011244
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K7044 Issued in TX
Practice address
2201 Westgate Plaza
Grapevine, TX 76051
Phone
(817) 410-2030
Fax
(817) 251-6261
NPI assigned
May 17, 2006
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K7044 TX Primary

Addresses

Primary practice location

2201 Westgate Plaza
Grapevine, TX 76051

Mailing address

2201 Westgate Plaza
Grapevine, TX 76051
Phone (817) 410-2030

Other identifiers 4

IdentifierTypeStateIssuer
3977274OtherTXCIGNA PIN
5456201OtherTXAETNA PIN
15470333OtherTXPACIFICARE PIN
8A2214OtherTXBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000522 TX Practitioner - Ophthalmology 4587563283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Texas PAGroup PAC ID 8820997513, 3 clinicians

Practice addresses (Care Compare)

2201 Westgate PLZ
Grapevine, TX 76051-8037
Phone (817) 410-2030

Merit-based Incentive Payment System (MIPS)

Final score
97.66 of 100Reported as group
Quality
95.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Texas PA Ophthalmology CurrentSince Nov 29, 2002 Accepting new patients
Lonestar Ambulatory Surgical Center CurrentSince Feb 1, 2010 Accepting new patients
Shreveport Eye Clinic a Medical Corp Ophthalmology Past Accepting new patients

Locations

1643 Lancaster Dr
Ste 305
Grapevine, TX 76051
Phone (817) 410-2030

2201 Westgate Plz
Grapevine, TX 76051
Phone (817) 410-2030

1100 SE 1st St
Ste A
Mineral Wells, TX 76067
Phone (940) 325-0079

702 S Main St
Weatherford, TX 76086
Phone (817) 594-2121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1528011244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLAZA",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-410-2030",
            "fax_number": "817-251-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLAZA",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-410-2030",
            "fax_number": "817-251-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOR",
        "first_name": "PHILLIPS",
        "middle_name": "KIRK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K7044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "3977274",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5456201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PIN",
            "identifier": "15470333",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8A2214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.